Koren L Kaye, MD | |
640 Jackson Street, Mc11102f, St Paul, MN 55101-2502 | |
(651) 254-3456 | |
(651) 254-5216 |
Full Name | Koren L Kaye |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Location | 640 Jackson Street, St Paul, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760449508 | NPI | - | NPPES |
969823000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 33099 (Minnesota) | Primary |
207P00000X | Emergency Medicine | 37102 (Wisconsin) | Secondary |
Entity Name | Stillwater Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558350488 PECOS PAC ID: 9436104510 Enrollment ID: O20050322000615 |
Mailing Address | Practice Location Address |
---|---|
Koren L Kaye, MD 8100 34th Ave S, Mc21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7172 | Koren L Kaye, MD 640 Jackson Street, Mc11102f, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Felix K Ankel, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Ralph J Frascone, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Peter Kumasaka, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Kellee A Street, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Of Minnesota Emergency, St Paul, MN 55102 Phone: 651-220-6914 | |
Michael D Zwank, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 | |
Donna M Milner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 345 North Smith Avenue, Childrens Hospitals And Clinics Emergency Physicians, St Paul, MN 55102 Phone: 651-220-6914 | |
Barbara C Letourneau, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 |