Jill Suzanne Melicher Larson, MD | |
9801 Dupont Ave S, 200, Bloomington, MN 55431-3100 | |
(952) 888-5800 | |
Not Available |
Full Name | Jill Suzanne Melicher Larson |
---|---|
Gender | Female |
Speciality | Ophthalmology |
Experience | 20 Years |
Location | 9801 Dupont Ave S, Bloomington, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285788950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 105147 (Minnesota) | Secondary |
207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | 53626 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minnesota Eye Consultants, Pa | 4284524539 | 34 |
Hennepin Healthcare System Inc | 4789684861 | 804 |
Entity Name | Minnesota Eye Consultants, Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508839879 PECOS PAC ID: 4284524539 Enrollment ID: O20040318001449 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Jill Suzanne Melicher Larson, MD 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 Ph: (952) 888-5800 | Jill Suzanne Melicher Larson, MD 9801 Dupont Ave S, 200, Bloomington, MN 55431-3100 Ph: (952) 888-5800 |
Honora E. Kennedy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 | |
Mehdi Roozbahani, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 9801 Dupont Ave S Ste 110, Bloomington, MN 55431 Phone: 612-355-6510 Fax: 612-713-9360 | |
Kaihan Fakhar, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 | |
Elizabeth A Davis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, Suite 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-884-2656 | |
Thomas Lang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 | |
Marshall Jin Huang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 |