Oliver Tan Phan, MD | |
6363 France Ave S, Suite 400, Edina, MN 55435-2129 | |
(763) 221-3201 | |
Not Available |
Full Name | Oliver Tan Phan |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 17 Years |
Location | 6363 France Ave S, Edina, 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 |
---|---|---|---|
1942463229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RN0300X | Internal Medicine - Nephrology | 57455 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Louis Park Dialysis Of Davita | Saint louis park, MN | Dialysis facility |
Total Renal Care, Inc. | Lakeville, MN | Dialysis facility |
Fairview Southdale Hospital | Edina, MN | Hospital |
Fairview Ridges Hospital | Burnsville, MN | Hospital |
University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Health Services | 1951213057 | 539 |
Intermed Consultants Dialysis Pllc | 7012225105 | 12 |
Intermed Consultants,ltd. | 8022033372 | 17 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Intermed Consultants,ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962596221 PECOS PAC ID: 8022033372 Enrollment ID: O20051006000224 |
Entity Name | Intermed Consultants Dialysis Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376912857 PECOS PAC ID: 7012225105 Enrollment ID: O20151009002328 |
Mailing Address | Practice Location Address |
---|---|
Oliver Tan Phan, MD 6363 France Ave S, Suite 400, Edina, MN 55435-2129 Ph: (763) 221-3201 | Oliver Tan Phan, MD 6363 France Ave S, Suite 400, Edina, MN 55435-2129 Ph: (763) 221-3201 |
Christopher Stefonowicz, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 100, Edina, MN 55435 Phone: 952-832-8100 | |
Dr. Mohammad H Arbabi, MD Nephrology Medicare: Medicare Enrolled Practice Location: 6500 France Ave S, Edina, MN 55435 Phone: 952-924-8117 Fax: 844-422-7933 | |
Anne Marie Rosenberg, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7500 France Ave S, Edina, MN 55435 Phone: 952-835-1311 | |
David Lewis Bowlin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6363 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-2070 Fax: 952-920-7444 | |
Jody Kay Hargrove, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954 | |
Jeffrey Lee Wilson, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954 | |
Brian Berglund, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 8100 W 78th St Ste 100, Edina, MN 55439 Phone: 952-914-8100 |