Minnesota Oncology Hematology, Pa - in Coon Rapids, MN

Minnesota Oncology Hematology, Pa is a Internal Medicine - Hematology & Oncology based in Coon Rapids, Minnesota. Minnesota Oncology Hematology, Pa is licensed to practice in Minnesota (license number 1076) and their current practice location is 11850 Blackfoot Nw, Suite 100, Coon Rapids, Minnesota. It can be reached at their office (for appointments etc.) via phone at (763) 712-2100.

NPI number for Minnesota Oncology Hematology, Pa is 1619111705 and their current mailing address is 11850 Blackfoot Nw, Suite 100, Coon Rapids, Minnesota. Minnesota Oncology Hematology, Pa does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1619111705.

Contact Information

Minnesota Oncology Hematology, Pa
11850 Blackfoot Nw, Suite 100,
Coon Rapids, MN 55433-2569
(763) 712-2100
(763) 712-2190

Map and Direction




Healthcare Provider's Profile

Full NameMinnesota Oncology Hematology, Pa
TypeFacility
SpecialityInternal Medicine - Hematology & Oncology
Location11850 Blackfoot Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619111705
  • Provider Enumeration Date: 04/21/2009
  • Last Update Date: 12/20/2013

Medical Identifiers

Medical identifiers for Minnesota Oncology Hematology, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619111705NPI-NPPES
C01828OtherMNMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 1076 (Minnesota)Secondary
170300000XGenetic Counselor, Ms 1076 (Minnesota)Secondary
207R00000XInternal Medicine 1076 (Minnesota)Secondary
207RH0003XInternal Medicine - Hematology & Oncology 1076 (Minnesota)Primary
207RX0202XInternal Medicine - Medical Oncology 1076 (Minnesota)Secondary
207VX0201XObstetrics & Gynecology - Gynecologic Oncology 1076 (Minnesota)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 1076 (Minnesota)Secondary
363AM0700XPhysician Assistant - Medical 1076 (Minnesota)Secondary
363AS0400XPhysician Assistant - Surgical 1076 (Minnesota)Secondary
363L00000XNurse Practitioner 1076 (Minnesota)Secondary
364S00000XClinical Nurse Specialist 1076 (Minnesota)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Minnesota Oncology Hematology, Pa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Minnesota Oncology Hematology, Pa
11850 Blackfoot Nw, Suite 100,
Coon Rapids, MN 55433-2569

Ph: (763) 712-2100
Minnesota Oncology Hematology, Pa
11850 Blackfoot Nw, Suite 100,
Coon Rapids, MN 55433-2569

Ph: (763) 712-2100

Reviews and Comments



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