John Daniel Nelson, MD | |
401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101-5302 | |
(651) 254-7500 | |
(651) 254-7557 |
Full Name | John Daniel Nelson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 401 Phalen Blvd, St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417928359 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 23769 (Minnesota) | Primary |
207W00000X | Ophthalmology | 23769 (Wisconsin) | Secondary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
John Daniel Nelson, MD 8100 34th Ave S, Bloomington, MN 55425-1672 Ph: (952) 883-5790 | John Daniel Nelson, MD 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101-5302 Ph: (651) 254-7500 |
Jerry L Kobrin, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Anthony J Pfaff, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Dr. Martin G Bruhl, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 393 North Dunlap Street Ste 725, Lexington Eye Associates Pa, St Paul, MN 55104 Phone: 651-646-7419 Fax: 651-646-7419 | |
David Wendell Johnson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Boulevard, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 | |
Leslie A Kopietz, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 401 Phalen Blvd, Mail Stop 41102e, St Paul, MN 55101 Phone: 651-254-7500 Fax: 651-254-7557 |