Polo Chen, MD | |
4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 | |
(763) 236-9765 | |
(763) 236-7422 |
Full Name | Polo Chen |
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Gender | Male |
Speciality | Pediatrics |
Location | 4050 Coon Rapids Blvd, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134189970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 47318 (Minnesota) | Primary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 49021 (Wisconsin) | Secondary |
Entity Name | Children's Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
Mailing Address | Practice Location Address |
---|---|
Polo Chen, MD 13301 Maple Knoll Way, Unit 614, Maple Grove, MN 55369 Ph: (612) 275-9288 | Polo Chen, MD 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 Ph: (763) 236-9765 |
Dr. Elise Nordeen Whitehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Drive, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Daniel Mcgeary Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433 | |
Kelsey Bergstrom Ankeny, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Mary E Illions-wilde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433 | |
Dr. Justin Ryan Leitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433 Phone: 763-780-9155 | |
Jennifer Lynn Martin-mckay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 |