Justin T Conley, MD | |
610 30th Ave W, Alexandria, MN 56308-3426 | |
(320) 763-5123 | |
(320) 763-7883 |
Full Name | Justin T Conley |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 610 30th Ave W, Alexandria, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033135298 | NPI | - | NPPES |
135595 | Other | MN | UCARE # |
623E1CO | Other | MN | MN BCBS # |
27253 | Other | MN | NDBCBS # |
HP69889 | Other | MN | HEALTHPARTNERS # |
0012-0006861 | Other | MN | MEDICA |
010437100 | Medicaid | MN | |
1033135298 | Other | MN | PRIMEWEST HEALTHCARE |
1203709 | Other | MN | MEDICA # |
13904 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 48867 (Minnesota) | Primary |
208000000X | Pediatrics | 4301111066 (Michigan) | Secondary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | Healtheast Care System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
Mailing Address | Practice Location Address |
---|---|
Justin T Conley, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 | Justin T Conley, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123 |
Brian D Carlsen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Jean K Fahey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Marcine P Ellwein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 | |
Kenneth J. Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883 |