Benjamin Pofahl, MD | |
3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 | |
(952) 993-3400 | |
Not Available |
Full Name | Benjamin Pofahl |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 3850 Park Nicollet Blvd, St Louis Park, 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 |
---|---|---|---|
1821064536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45098 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Pofahl, MD 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3400 | Benjamin Pofahl, MD 3850 Park Nicollet Blvd, St Louis Park, MN 55416-2527 Ph: (952) 993-3400 |
Elisabeth Jean Mcclean, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000 | |
Kari Miller, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3512 | |
Dr. Sara Johanna Mitlyng, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6600 Excelsior Blvd, Suite 100, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Dr. Wayne D Liebhard, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025 | |
Michael Dukinfield, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Suite 160, St Louis Park, MN 55426 Phone: 952-993-7700 | |
Jodi Milburn, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-6666 | |
Mary D Wagner, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6600 Excelsior Blvd, Ste 160, St Louis Park, MN 55426 Phone: 952-993-7707 |