Stephen R Tan, MD | |
401 Phalen Blvd, Saint Paul, MN 55130-5302 | |
(651) 254-7580 | |
(651) 254-7584 |
Full Name | Stephen R Tan |
---|---|
Gender | Male |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 28 Years |
Location | 401 Phalen Blvd, Saint 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 |
---|---|---|---|
1669446415 | NPI | - | NPPES |
064221500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ND0101X | Dermatology - Mohs-micrographic Surgery | 44614 (Minnesota) | Primary |
207N00000X | Dermatology | 44614 (Minnesota) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
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 |
Mailing Address | Practice Location Address |
---|---|
Stephen R Tan, MD 401 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-7580 | Stephen R Tan, MD 401 Phalen Blvd, Saint Paul, MN 55130-5302 Ph: (651) 254-7580 |
Andrea Langeveld, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
John Stansbury, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7000 Fax: 651-641-7166 | |
Jerry Wayne Stanke, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Mrs. Wendy Roberta Timmons, PAC Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4480 Centerville Rd, Saint Paul, MN 55127 Phone: 651-484-2724 Fax: 651-484-2723 | |
Jessica A Healy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Katherine E Brick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
Dennis M Leahy, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N, Suite 720, Saint Paul, MN 55104 Phone: 651-645-3628 |