Randolph W Hurley, MD | |
640 Jackson Street, Mc 11503f, St Paul, MN 55101-2502 | |
(651) 254-3448 | |
(651) 254-3470 |
Full Name | Randolph W Hurley |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 37 Years |
Location | 640 Jackson Street, St Paul, 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 |
---|---|---|---|
1033184239 | NPI | - | NPPES |
142887000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | 34608 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Western Wisconsin Health | Baldwin, WI | Hospital |
Regions Hospital | Saint paul, MN | Hospital |
St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Baldwin Area Medical Center Inc | 7911800586 | 65 |
St. Croix Regional Medical Center | 9335032184 | 147 |
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 |
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 |
---|---|
Randolph W Hurley, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Randolph W Hurley, MD 640 Jackson Street, Mc 11503f, St Paul, MN 55101-2502 Ph: (651) 254-3448 |
William Robert Jahnke Ii, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661 | |
Dr. Neil P Phelan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857 | |
Dr. Josaleen Muzquiz Davis, MD Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006 | |
Jeffrry P Jaffe, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Ghaziuddin A Qadri, MBBS Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 | |
Mohamed A Hagi Aden, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 |