| David T Chang, MD | |
|
1835 County Road C W, Suite 150, Roseville, MN 55113-1352 | |
| (651) 430-3800 | |
| (651) 430-3827 |
| Full Name | David T Chang |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 29 Years |
| Location | 1835 County Road C W, Roseville, 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 |
|---|---|---|---|
| 1336116052 | NPI | - | NPPES |
| 06382528 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 6663120 (Wisconsin) | Secondary |
| 207T00000X | Neurological Surgery | 48863 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Midwest Spine And Brain Institute Llc | 4183613557 | 3 |
| Allina Health System | 4587573613 | 3584 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Midwest Spine & Brain Institute Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902836133 PECOS PAC ID: 4183613557 Enrollment ID: O20040511000078 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| David T Chang, MD 1950 Northwestern Ave S Ste 102, Stillwater, MN 55082-7615 Ph: (651) 430-3800 | David T Chang, MD 1835 County Road C W, Suite 150, Roseville, MN 55113-1352 Ph: (651) 430-3800 |