Kurt A Elting-ballard, MD | |
4194 Lexington Ave N, Shoreview, MN 55126-6106 | |
(651) 483-5461 | |
Not Available |
Full Name | Kurt A Elting-ballard |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 4194 Lexington Ave N, Shoreview, 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 |
---|---|---|---|
1457315137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 39325 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina Health Home Health | Saint paul, MN | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
Allina Health System | 4587573613 | 3101 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Kurt A Elting-ballard, MD Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813 | Kurt A Elting-ballard, MD 4194 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (651) 483-5461 |
Stephanie W Putzier, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3530 Lexington Ave N, Shoreview, MN 55126 Phone: 651-714-0200 Fax: 651-714-0201 | |
David M Casement, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2155 | |
Jessica Simmons Sjoholm, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 516-483-5461 Fax: 516-483-2155 |