Kelsey Bergstrom Ankeny, MD | |
4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 | |
(763) 236-6000 | |
Not Available |
Full Name | Kelsey Bergstrom Ankeny |
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Gender | Female |
Speciality | Pediatrics |
Location | 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134480254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 58882 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
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Kelsey Bergstrom Ankeny, MD 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 Ph: (763) 236-6000 | Kelsey Bergstrom Ankeny, MD 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2522 Ph: (763) 236-6000 |
Dr. Elise Nordeen Whitehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Drive, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Daniel Mcgeary Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433 | |
Polo Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 Phone: 763-236-9765 Fax: 763-236-7422 | |
Mary E Illions-wilde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433 | |
Dr. Justin Ryan Leitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Jennifer Lynn Martin-mckay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |