Dr Michael A Nissenbaum, MD | |
11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 | |
(952) 595-1301 | |
(612) 294-4903 |
Full Name | Dr Michael A Nissenbaum |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 11995 Singletree Ln Ste 500, Eden Prairie, 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 |
---|---|---|---|
1356328975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 305724 (Louisiana) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 042.0007498 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Chambersburg Hospital | Chambersburg, PA | Hospital |
Gettysburg Hospital | Gettysburg, PA | Hospital |
Good Samaritan Hospital | Lebanon, PA | Hospital |
Southwestern Vermont Medical Center | Bennington, VT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Red River Consultants Inc | 1355303363 | 52 |
Virtual Radiologic Professionals Llc | 4981608817 | 355 |
Entity Name | Carlos G Otis Health Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124049960 PECOS PAC ID: 6002726387 Enrollment ID: O20040802001147 |
Entity Name | Virtual Radiologic Professionals Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932342029 PECOS PAC ID: 4981608817 Enrollment ID: O20170324000743 |
Entity Name | Red River Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902877426 PECOS PAC ID: 1355303363 Enrollment ID: O20170918003029 |
Entity Name | Pontchartrain Diagnostic Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760734685 PECOS PAC ID: 1951552900 Enrollment ID: O20180406001708 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael A Nissenbaum, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 | Dr Michael A Nissenbaum, MD 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349 Ph: (952) 595-1301 |
Norna L. Karp, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Rati N Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Jacob Gebrael, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Gwendolyn Durgin, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 | |
Stephen George Fox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 11995 Singletree Ln Ste 500, Eden Prairie, MN 55344 Phone: 952-595-1301 Fax: 612-294-4903 |