| Brian Lee Walters, MD | |
|
15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | |
| (651) 968-5201 | |
| (651) 968-5903 |
| Full Name | Brian Lee Walters |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 15700 37th Ave N Ste 150, Plymouth, 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 |
|---|---|---|---|
| 1114241882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 60003 (Minnesota) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 60003 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Orthopedics Ltd | 8921900374 | 259 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Summit Orthopedics Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306899463 PECOS PAC ID: 8921900374 Enrollment ID: O20040126000035 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Lee Walters, MD 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: () - | Brian Lee Walters, MD 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 Ph: (651) 968-5201 |
Richard M Salib, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5904 | |
Dr. Michael Q Freehill, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5903 | |
Dr. Roman Gabriel Guerrero-maestre, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 | |
Dr. Edward Rainier Gamboa Santos, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5904 | |
Andrew Brooks, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 Fax: 651-968-5903 | |
Andrew Yongkun Liu, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2800 Campus Dr Ste 10, Plymouth, MN 55441 Phone: 763-398-4400 |