Matthew Hennen, OD | |
1540 Humboldt Ave, Suite 201, West St Paul, MN 55118-3417 | |
(651) 457-2020 | |
Not Available |
Full Name | Matthew Hennen |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 1540 Humboldt Ave, West St 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 |
---|---|---|---|
1639527708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3467 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dakota Optometric Eye Care Associates, P.a. | 0749381218 | 5 |
Mjh Llc | 9032472139 | 2 |
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 |
Provider Name | Mjh Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558723411 PECOS PAC ID: 9032472139 Enrollment ID: O20180423002521 |
Mailing Address | Practice Location Address |
---|---|
Matthew Hennen, OD 1540 Humboldt Ave, Suite 201, West St Paul, MN 55118-3417 Ph: (651) 457-2020 | Matthew Hennen, OD 1540 Humboldt Ave, Suite 201, West St Paul, MN 55118-3417 Ph: (651) 457-2020 |
Dr. Laura L Flockencier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1540 Humboldt Ave, West St Paul, MN 55118 Phone: 651-457-2020 | |
Greg B Markeson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 651-306-0412 Fax: 651-306-0414 | |
Radiant Isight Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 815-997-0164 | |
Dba Greg B Markeson Od Optometrist Medicare: Medicare Enrolled Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 651-306-0412 Fax: 651-306-0414 | |
Baars Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Robert St S, West St Paul, MN 55118 Phone: 651-306-0412 Fax: 651-306-0414 | |
Optometric Services, Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1980 South Robert St, West St Paul, MN 55118 Phone: 651-451-1805 Fax: 651-451-0330 |