Jason Michael Prostrollo, DO | |
1835 County Road C W, Roseville, MN 55113-1352 | |
(763) 785-4300 | |
(763) 785-7779 |
Full Name | Jason Michael Prostrollo |
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Gender | Male |
Speciality | Pediatrics |
Location | 1835 County Road C W, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558659615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 57872 (Minnesota) | Primary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Jason Michael Prostrollo, DO 1835 County Road C W, Roseville, MN 55113-1352 Ph: (763) 785-4300 | Jason Michael Prostrollo, DO 1835 County Road C W, Roseville, MN 55113-1352 Ph: (763) 785-4300 |
Dr. Byron Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Shryer Ave W, Roseville, MN 55113 Phone: 651-633-9080 | |
Dr. Douglas Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5140 | |
Dr. Forrest Blanton Bessinger Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Rosewood Ln N, Roseville, MN 55113 Phone: 651-636-8534 | |
Heidi Currier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 |