Robert John Zajac, MD | |
6452 City West Pkwy, Eden Prairie, MN 55344-3245 | |
(952) 999-0333 | |
Not Available |
Full Name | Robert John Zajac |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 6452 City West Pkwy, Eden Prairie, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578551636 | NPI | - | NPPES |
597497600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44503 (Minnesota) | Primary |
Entity Name | New Kingdom Pediatrics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760816045 PECOS PAC ID: 7315266806 Enrollment ID: O20150505001812 |
Mailing Address | Practice Location Address |
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Robert John Zajac, MD 6452 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: (952) 999-0333 | Robert John Zajac, MD 6452 City West Pkwy, Eden Prairie, MN 55344-3245 Ph: (952) 999-0333 |
Dr. Vicki Meyer Oster, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18315 Cascade Dr, Ste 170, Eden Prairie, MN 55347 Phone: 952-831-1944 Fax: 952-278-6947 | |
Dr. Peter John Dehnel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12200 Middle Set Rd, Suite 100, Eden Prairie, MN 55344 Phone: 952-943-0027 | |
Dr. Jennifer L Lessin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8455 Flying Cloud Dr, Ste 205, Eden Prairie, MN 55344 Phone: 952-993-2498 | |
Thomas R Scott, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11455 Viking Dr, Ste 300, Park Nicollet Clinic - Alexander Center, Eden Prairie, MN 55344 Phone: 952-993-2498 Fax: 952-993-2557 | |
Dr. Anna M Kostanecka, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8455 Flying Cloud Dr, Ste 205, Eden Prairie, MN 55344 Phone: 952-993-2498 | |
Dr. Elliot Irwin Trach, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6466 Hummingbird Lane, Eden Prairie, MN 55346 Phone: 952-974-0607 | |
Dr. Leah D Khan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11095 Viking Dr Ste 250, Eden Prairie, MN 55344 Phone: 952-278-7000 |