Keith Bruce Mccollister, MD | |
166 4th St E, Saint Paul, MN 55101-1421 | |
(651) 292-2000 | |
Not Available |
Full Name | Keith Bruce Mccollister |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 15 Years |
Location | 166 4th St E, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427292796 | NPI | - | NPPES |
1427292796 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085N0700X | Radiology - Neuroradiology | 10770 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Usd Medical Center | Sioux falls, SD | Hospital |
Ortonville Area Health Services | Ortonville, MN | Hospital |
United Hospital District | Blue earth, MN | Hospital |
Windom Area Health | Windom, MN | Hospital |
Sanford Sheldon Medical Center | Sheldon, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Clinic | 0244143824 | 228 |
Entity Name | Sanford Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532 |
Mailing Address | Practice Location Address |
---|---|
Keith Bruce Mccollister, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: () - | Keith Bruce Mccollister, MD 166 4th St E, Saint Paul, MN 55101-1421 Ph: (651) 292-2000 |
Michael S Rosenberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Joseph H Tashjian, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Dr. Lorraine Laroy, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 Fax: 651-292-2136 | |
Dr. Paul Robert Oler Ii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Christopher A Jackson, MD Radiology Medicare: Medicare Enrolled Practice Location: 166 4th St E, Saint Paul, MN 55101 Phone: 651-292-2043 Fax: 651-292-2204 | |
Mckinley Cribbs Lawson, M.D., PH.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 250 Thompson St, Saint Paul, MN 55102 Phone: 651-292-2000 | |
Kathryn E. Farniok, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 345 Sherman St, Saint Paul, MN 55102 Phone: 651-251-5500 Fax: 651-251-5555 |