Lawrence Deshaw, MD | |
15290 Pennock Ln, Apple Valley, MN 55124-7163 | |
(952) 853-8800 | |
(952) 431-6966 |
Full Name | Lawrence Deshaw |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 25 Years |
Location | 15290 Pennock Ln, Apple Valley, 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 |
---|---|---|---|
1326005976 | NPI | - | NPPES |
100790400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 45204 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
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 | Group Health Plan Inc |
---|---|
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 |
---|---|
Lawrence Deshaw, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Lawrence Deshaw, MD 15290 Pennock Ln, Apple Valley, MN 55124-7163 Ph: (952) 853-8800 |
Patricia M Cook, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Kimberly S Glynn, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-853-8800 Fax: 952-431-6966 | |
Keith A Allen, MBCHBBAO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15746 Fremont Way, Apple Valley, MN 55124 Phone: 715-205-6789 | |
Autumn Sue Ties, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-853-8800 | |
Dr. Marven G Ewen, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124 Phone: 952-431-8500 Fax: 952-431-8598 |