Kenneth Dean Olsen, MD | |
14000 Fairview Dr, Burnsville, MN 55337-5713 | |
(952) 993-3230 | |
(952) 993-8438 |
Full Name | Kenneth Dean Olsen |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 36 Years |
Location | 14000 Fairview Dr, Burnsville, 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 |
---|---|---|---|
1528028271 | NPI | - | NPPES |
993717000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 39403 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Regional Medical Center | Shakopee, MN | Hospital |
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tria Orthopaedic Center Llc | 3173570561 | 362 |
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Tria Orthopaedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
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Kenneth Dean Olsen, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kenneth Dean Olsen, MD 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-3230 |
Dr. Patrick Brian Ebeling, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. James Michael Schaffhausen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. Randall Alfred Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. Sunny S Kim, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Highway 13 E Ste 211, Burnsville, MN 55337 Phone: 320-763-8888 Fax: 952-405-9760 | |
Dr. Neil Rodman Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Jason Scott Holm, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th St, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Eileen Eggenberger, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14050 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 |