Anthony M Kangea, | |
11020 Optum Cir, Eden Prairie, MN 55344-2503 | |
(757) 604-1881 | |
Not Available |
Full Name | Anthony M Kangea |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 11020 Optum Cir, 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 |
---|---|---|---|
1841917226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024184760 (Virginia) | Primary |
Entity Name | Riverside Physician Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194929026 PECOS PAC ID: 5092608448 Enrollment ID: O20040207000400 |
Entity Name | Mid-atlantic Post Acute & Long Term Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225557556 PECOS PAC ID: 0648530782 Enrollment ID: O20180209000313 |
Mailing Address | Practice Location Address |
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Anthony M Kangea, 1020 Old Denbigh Blvd, Newport News, VA 23602-2017 Ph: (757) 875-2050 | Anthony M Kangea, 11020 Optum Cir, Eden Prairie, MN 55344-2503 Ph: (757) 604-1881 |
Meghan Maureen Davitt, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Chad Lee Stencel, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Prairie Center Dr Ste 200, Eden Prairie, MN 55344 Phone: 952-995-8780 Fax: 952-679-7430 | |
Rachel Maguy Pierre, ARNP-FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11000 Optum Cir, Eden Prairie, MN 55344 Phone: 888-445-8745 | |
Nimo Saleban Abdi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10067 Gristmill Rdg, Eden Prairie, MN 55347 Phone: 612-226-2747 Fax: 612-465-4884 | |
Jill Marie Scholz, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344 Phone: 612-573-2200 Fax: 612-573-2274 | |
Kristofer Bristol, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 | |
Katie L Seremet, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6452 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-999-0333 Fax: 952-300-2558 |