Ted H Spooner, | |
6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426-4702 | |
(952) 993-3246 | |
(952) 993-3010 |
Full Name | Ted H Spooner |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 45 Years |
Location | 6500 Excelsior Blvd, St Louis Park, 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 |
---|---|---|---|
1932188653 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 31959 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
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Ted H Spooner, 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426-1728 Ph: (952) 993-7169 | Ted H Spooner, 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426-4702 Ph: (952) 993-3246 |
Jeffrey Mendeloff, Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 | |
Andrew J K Smith, Surgery Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd #e500, Park Nicollet Clinic - Meadowbrook, St Louis Park, MN 55426 Phone: 952-993-7342 Fax: 952-993-2701 | |
Brian Grubbs, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3900 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3017 | |
Dr. Christopher Jen-hung Chow, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Department Of Surgery, Meadowbrook W-200, St Louis Park, MN 55426 Phone: 952-993-3180 | |
Michael T Schueppert, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010 | |
Dr. James Ho-ming Kong, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5400 Excelsior Blvd, St Louis Park, MN 55416 Phone: 952-993-3150 Fax: 952-993-3611 | |
Colleen N Kuzj, PA Surgery Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230 Fax: 952-993-1748 |