Theodore Adolph Groskreutz, MD | |
111 Hundertmark Rd, 212 Medical Center Ste 220, Chaska, MN 55318-4551 | |
(952) 448-2050 | |
Not Available |
Full Name | Theodore Adolph Groskreutz |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 51 Years |
Location | 111 Hundertmark Rd, Chaska, 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 |
---|---|---|---|
1982703948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 21831 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Francis Regional Medical Center | Shakopee, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
St Francis Regional Medical Center | 7214821909 | 88 |
Entity Name | St Francis Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
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 |
---|---|
Theodore Adolph Groskreutz, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Theodore Adolph Groskreutz, MD 111 Hundertmark Rd, 212 Medical Center Ste 220, Chaska, MN 55318-4551 Ph: (952) 448-2050 |
Kurt A Brattain, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3000 Hundertmark Rd, Chaska, MN 55318 Phone: 952-556-0120 Fax: 952-556-0121 | |
Dr. David Allen Willey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Chaska Creek Way, Suite 200, Chaska, MN 55318 Phone: 952-448-3303 Fax: 952-448-4409 | |
Barbara Gayle Houts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hundertmark Rd, Two Twelve Medical Center, Ste. 220, Chaska, MN 55318 Phone: 952-448-2050 | |
Kerrie Vojtech Allen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hundertmark Rd, Suite 220, Chaska, MN 55318 Phone: 952-448-2050 | |
Joseph Hainsworth Kandiko, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd, Suite 220, Chaska, MN 55318 Phone: 952-448-2050 | |
William Roger Maus, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Hundertmark Rd, Suite 220, Chaska, MN 55318 Phone: 952-448-2050 | |
Jacquelyn Lorraine Conley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Chaska Creek Way Ste 200, Chaska, MN 55318 Phone: 952-856-1046 Fax: 952-856-1049 |