Brian Daniel Knox, MD | |
3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 | |
(415) 504-3838 | |
(415) 504-1367 |
Full Name | Brian Daniel Knox |
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Gender | Male |
Speciality | Pediatrics |
Location | 3033 Campus Dr Ste W225, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477748358 | NPI | - | NPPES |
149KK | Other | FL | BLUE CROSS BLUE SHIELD |
002232900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME100143 (Florida) | Secondary |
208000000X | Pediatrics | ME100143 (Florida) | Primary |
Entity Name | University Medical Service Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992742324 PECOS PAC ID: 6800790221 Enrollment ID: O20031126000130 |
Mailing Address | Practice Location Address |
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Brian Daniel Knox, MD 3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 Ph: (415) 504-3838 | Brian Daniel Knox, MD 3033 Campus Dr Ste W225, Plymouth, MN 55441-2752 Ph: (415) 504-3838 |
Dr. Keena Yue Leung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909 | |
Erica Wade Lundberg, APRN Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4875 Cottonwood Ln N, Plymouth, MN 55442 Phone: 612-201-4608 | |
Dr. Amy C Burt, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 | |
Dr. Megan M. Reilly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2855 Campus Dr, #350, Plymouth, MN 55441 Phone: 763-520-1200 Fax: 763-520-1201 | |
Ms. Anna G. Rakovshik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4155 County Road 101 N, Plymouth, MN 55446 Phone: 952-993-8900 | |
Caroline Ruth Mathews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909 | |
Jennifer Exo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11505 36th Ave N, Plymouth, MN 55441 Phone: 763-509-3800 |