Kayleigh Dittes, MD | |
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
(952) 993-5000 | |
Not Available |
Full Name | Kayleigh Dittes |
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Gender | Female |
Speciality | Hospitalist |
Location | 6500 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689294811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 74232 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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 |
---|---|
Kayleigh Dittes, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kayleigh Dittes, MD 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000 |
Junqing Xin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Methodist Hospitalist Program Suite 2-260, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Dr. Sara Ann Hoff, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Mouaffaa Tello, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 |