Lucas Blanchard, | |
3801 Hart Blvd, Columbia Heights, MN 55421-4106 | |
(612) 364-1901 | |
Not Available |
Full Name | Lucas Blanchard |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 4 Years |
Location | 3801 Hart Blvd, Columbia Heights, 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 |
---|---|---|---|
1932774874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 11796 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Infinite Health Collaborative Pa | 1052225042 | 761 |
Provider Name | Infinite Health Collaborative Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164474250 PECOS PAC ID: 1052225042 Enrollment ID: O20040209000574 |
Provider Name | Odom Sports Medicine Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
Mailing Address | Practice Location Address |
---|---|
Lucas Blanchard, 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: () - | Lucas Blanchard, 3801 Hart Blvd, Columbia Heights, MN 55421-4106 Ph: (612) 364-1901 |
Mrs. Debra Kathleen Simon, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4444 Reservoir Blvd, Columbia Heights, MN 55421 Phone: 763-782-1657 | |
Mrs. Courtney A Karalus, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3801 Hart Blvd, Columbia Heights, MN 55421 Phone: 763-210-6697 Fax: 763-710-8143 | |
Leah Marie Paquin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4000 Central Ave Ne, Columbia Heights, MN 55421 Phone: 763-782-8106 |