Dr Mark Hennen, OD | |
1540 Humboldt Ave, Saint Paul, MN 55118-3417 | |
(651) 457-2020 | |
Not Available |
Full Name | Dr Mark Hennen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 41 Years |
Location | 1540 Humboldt Ave, 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 |
---|---|---|---|
1215934559 | NPI | - | NPPES |
237223100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1944 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dakota Optometric Eye Care Associates, P.a. | 0749381218 | 5 |
Provider Name | Dakota Optometric Eye Care Associates, P.a. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598773780 PECOS PAC ID: 0749381218 Enrollment ID: O20070727000376 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Hennen, OD 1613 Atwater Path, Inver Grove Heights, MN 55077-1201 Ph: (651) 455-6631 | Dr Mark Hennen, OD 1540 Humboldt Ave, Saint Paul, MN 55118-3417 Ph: (651) 457-2020 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |