Thomas W Samuelson, MD | |
10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305-5509 | |
(952) 888-5800 | |
(952) 567-6156 |
Full Name | Thomas W Samuelson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 40 Years |
Location | 10709 Wayzata Blvd Ste 200, Minnetonka, 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 |
---|---|---|---|
1265427918 | NPI | - | NPPES |
851008300 | Medicaid | MN | |
31696600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 30302 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minnesota Eye Consultants, Pa | 4284524539 | 34 |
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 | Minnesota Eye Consultants, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508839879 PECOS PAC ID: 4284524539 Enrollment ID: O20040318001449 |
Entity Name | Hennepin Healthcare System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033138136 PECOS PAC ID: 4789684861 Enrollment ID: O20070207000467 |
Mailing Address | Practice Location Address |
---|---|
Thomas W Samuelson, MD 9801 Dupont Ave S, Suite 425, Bloomington, MN 55431-3100 Ph: (652) 567-6092 | Thomas W Samuelson, MD 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305-5509 Ph: (952) 888-5800 |
Dr. William Keith Engel, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 Phone: 763-416-7600 Fax: 763-416-7634 | |
Dr. Eugene O Gullingsrud, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-888-5800 Fax: 952-567-6156 | |
Dr. Richard S Freeman, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 6060 Clearwater Dr Ste 150, Minnetonka, MN 55343 Phone: 763-416-7600 Fax: 763-416-7634 | |
Dr. Phillip Michael Armand Radke, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Dr. Michael Lieppman, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Chad Michael Serels, Ophthalmology Medicare: Medicare Enrolled Practice Location: 10709 Wayzata Blvd Ste 200, Minnetonka, MN 55305 Phone: 952-888-5800 Fax: 952-567-6156 |