Elijah Luken, PT, DPT | |
4155 County Road 101 N, Plymouth, MN 55446-2307 | |
(952) 993-8900 | |
Not Available |
Full Name | Elijah Luken |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 4155 County Road 101 N, Plymouth, 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 |
---|---|---|---|
1568134492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Provider Name | Park Nicollet Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Elijah Luken, PT, DPT 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: () - | Elijah Luken, PT, DPT 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: (952) 993-8900 |
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Sarah Mugge, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4155 County Road 101 N, 2nd Floor, Plymouth, MN 55446 Phone: 952-993-8999 Fax: 952-993-8242 | |
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