Samuel C Levine, MD | |
516 Delaware St Se, Pwb 8th Floor, Clinic 8a, Minneapolis, MN 55455-0356 | |
(612) 626-5900 | |
Not Available |
Full Name | Samuel C Levine |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 516 Delaware St Se, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508954181 | NPI | - | NPPES |
0051221 | Medicaid | MT | |
274082600 | Medicaid | MN | |
10-00019 | Other | MN | MEDICA PRIMARY |
10-22589 | Other | MN | MEDICA CHOICE |
2T080LE | Other | MN | BLUE CROSS BLUE SHIELD |
30778200 | Medicaid | WI | |
HP22089 | Other | MN | HEALTH PARTNERS |
100884 | Other | MN | UCARE |
065524 | Other | MN | FAIRVIEW |
607398 | Other | MN | ARAZ |
1009211 | Other | MN | PREFERRED ONE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 30278 (Minnesota) | Primary |
207YX0901X | Otolaryngology - Otology & Neurotology | 30278 (Minnesota) | Secondary |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Samuel C Levine, MD 420 Delaware Street Se, University Of Minnesota Physician, Minneapolis, MN 55455 Ph: (612) 626-5900 | Samuel C Levine, MD 516 Delaware St Se, Pwb 8th Floor, Clinic 8a, Minneapolis, MN 55455-0356 Ph: (612) 626-5900 |
Jeffrey C. Manlove, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Richard M. Levinson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Robert H Maisel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, P7, Minneapolis, MN 55415 Phone: 612-873-2424 | |
Sivakumar Chinnadurai, MD, MPH Otolaryngology Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave Ste 450, Minneapolis, MN 55404 Phone: 615-813-6000 | |
Samir Suresh Khariwala, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware St Se, Clinic 8a, Minneapolis, MN 55455 Phone: 612-625-7400 | |
Tina Chung-ting Huang, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, University Of Minnesota Physicians, Minneapolis, MN 55455 Phone: 612-626-5900 | |
Carrie E Flanagan, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Mmc 293, Minneapolis, MN 55455 Phone: 612-625-7634 |