| Bradford Sklow, MD | |
|
2800 Chicago Ave, Suite 300, Minneapolis, MN 55407-1318 | |
| (651) 225-7855 | |
| Not Available |
| Full Name | Bradford Sklow |
|---|---|
| Gender | Male |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 32 Years |
| Location | 2800 Chicago Ave, Minneapolis, 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 |
|---|---|---|---|
| 1518057140 | NPI | - | NPPES |
| P00039720 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 5317240-1205 (Utah) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 57096 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Cleveland Clinic Indian River Hospital | Vero beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martin Memorial Medical Center Inc | 2961300611 | 513 |
| Indian River Health Services Inc | 9234130329 | 330 |
| Entity Name | Martin Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194790055 PECOS PAC ID: 2961300611 Enrollment ID: O20031222000241 |
| Entity Name | Cleveland Clinic Florida (a Nonprofit Corporation) |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989298 PECOS PAC ID: 7911807128 Enrollment ID: O20040113000394 |
| Entity Name | Martin Memorial Physician Corporation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578505228 PECOS PAC ID: 7315833555 Enrollment ID: O20040225000440 |
| Entity Name | Indian River Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710933031 PECOS PAC ID: 9234130329 Enrollment ID: O20070116000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford Sklow, MD 3433 Broadway St Ne Ste 115, Minneapolis, MN 55413-1759 Ph: (651) 312-1505 | Bradford Sklow, MD 2800 Chicago Ave, Suite 300, Minneapolis, MN 55407-1318 Ph: (651) 225-7855 |