Kevin G Preston, CRNA | |
8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 | |
(763) 398-0099 | |
(763) 398-0124 |
Full Name | Kevin G Preston |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 8990 Springbrook Dr Nw, Coon Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285626333 | NPI | - | NPPES |
41G22PR | Other | MN | BCBSMN |
786843000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R 087340-2 (Minnesota) | Primary |
Entity Name | South Metropolitan Anesthesia Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649265737 PECOS PAC ID: 1153370911 Enrollment ID: O20050119000369 |
Mailing Address | Practice Location Address |
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Kevin G Preston, CRNA 7785 133rd St W, Apple Valley, MN 55124-7364 Ph: () - | Kevin G Preston, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099 |
Mark Retz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433 Phone: 763-398-0124 | |
Michael D Thyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 | |
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 | |
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124 |