Phillip Anthony Kaupa, MD | |
2200 Nw 26th St, Owatonna, MN 55060-5503 | |
(507) 451-1120 | |
(507) 444-6287 |
Full Name | Phillip Anthony Kaupa |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 2200 Nw 26th St, Owatonna, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902866650 | NPI | - | NPPES |
706368700 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35711 (Minnesota) | Primary |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Mailing Address | Practice Location Address |
---|---|
Phillip Anthony Kaupa, MD 2200 Nw 26th St, Owatonna, MN 55060-5503 Ph: (507) 451-1120 | Phillip Anthony Kaupa, MD 2200 Nw 26th St, Owatonna, MN 55060-5503 Ph: (507) 451-1120 |
Eleanor O Vita, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 134 Southview St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287 | |
Dr. Annie Marie Kontos, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 | |
Bradley A Bohn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 | |
Mrs. Mallory Lynn Berry, APRN-CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 | |
Jack A Felland, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287 | |
Ms. Katherine Louise Clubb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 612-703-0744 Fax: 651-241-1116 | |
Jason Trevor Wray-raabolle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2200 Nw 26th St, Owatonna, MN 55060 Phone: 507-451-1120 Fax: 507-444-6287 |