| Antoinette Marie Moran, MD | |
| 420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 | |
| (612) 626-6777 | |
| Not Available | 
| Full Name | Antoinette Marie Moran | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics - Pediatric Endocrinology | 
| Location | 420 Delaware St Se, Mmc 404, Minneapolis, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780618249 | NPI | - | NPPES | 
| 0051748 | Medicaid | MT | |
| 706594700 | Medicaid | MN | |
| 100925 | Other | UCARE | |
| 0963157 | Medicaid | IA | |
| 0246157 | Other | OH | OH MA | 
| 1009249 | Other | PREFERRED ONE | |
| 31504800 | Medicaid | WI | |
| HP 21999 | Other | HEALTHPARTNERS | |
| 3374526 | Other | MEDICA PRIMARY | |
| 24534 | Other | ARAZ/PPO | |
| 2T300MO | Other | MN | BCBS | 
| 3324983 | Other | MEDICA CHOICE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 31322 (Minnesota) | Secondary | 
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 31322 (Minnesota) | Primary | 
| Entity Name | University Of Minnesota Physicians | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 | 
| Entity Name | Fairview Express Care | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 | 
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Antoinette Marie Moran, MD 420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-6777 | Antoinette Marie Moran, MD 420 Delaware St Se, Mmc 404, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-6777 | 
| Dr. Kathleen F Sadak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-6402 | |
| Dr. Aimee Kristen Sznewajs, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-343-2121 | |
| Anisha Rimal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 | |
| Dr. Marie Elizabeth Steiner, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Dr. Bruce Robert Blazar, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Delaware Street Se, University Of Mn Physicians, Pwb Fifth Floor, Clinic 5b, Minneapolis, MN 55455 Phone: 612-273-2800 | |
| Dr. Pablo Ureta Avendano, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Minnesota Physicians, 516 Delaware Street Se, Pwb Fourth Floor, Room 4-100, Minneapolis, MN 55455 Phone: 612-626-2916 | |
| Heather Emily Stefanski, MD, PH.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Mmc 366, University Of Minnesota, Minneapolis, MN 55455 Phone: 612-626-2961 |