| Brandy Lee Utter, MD | |
|
4194 Lexington Ave N, Shoreview, MN 55126-6106 | |
| (651) 483-5461 | |
| Not Available |
| Full Name | Brandy Lee Utter |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 4194 Lexington Ave N, Shoreview, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255468914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 52395 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Conway Regional Health System | Conway, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Conway Regional Medical Center Inc | 3173428414 | 133 |
| Entity Name | Conway Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396913976 PECOS PAC ID: 3173428414 Enrollment ID: O20080404000463 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Lee Utter, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Brandy Lee Utter, MD 4194 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (651) 483-5461 |
John Paul Lundgren, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Elizabeth A Detlie, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 | |
Lizabeth Kaku, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 | |
Jeffrey Nelson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 612-804-2522 | |
Matthew C Monteiro, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 | |
Dr. Seth A Vogel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 |