Dr Daniel Shibru, MD | |
333 Oak Grove St, Apt 211, Minneapolis, MN 55403-4004 | |
(510) 282-9145 | |
Not Available |
Full Name | Dr Daniel Shibru |
---|---|
Gender | Male |
Speciality | Colorectal Surgery (proctology) |
Experience | 22 Years |
Location | 333 Oak Grove St, 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 |
---|---|---|---|
1679708697 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A85654 (California) | Primary |
208C00000X | Colon & Rectal Surgery | A85654 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Kaiser Foundation Hosp So Sacramento | Sacramento, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permanente Medical Group Inc | 8921910225 | 7800 |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Shibru, MD 1524 Woolsey St, Apt A, Berkeley, CA 94703-2368 Ph: (510) 282-9145 | Dr Daniel Shibru, MD 333 Oak Grove St, Apt 211, Minneapolis, MN 55403-4004 Ph: (510) 282-9145 |
Jessica M Gutierrez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404 Phone: 612-863-7770 Fax: 612-863-7772 | |
Thomas Mark Suszynski, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-273-8383 | |
Dr. Ernest William Lampe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3329 University Avenue Se, Minneapolis, MN 55414 Phone: 612-454-2260 Fax: 612-454-2340 | |
Robert Hampton Rich, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, #550, Minneapolis, MN 55404 Phone: 612-813-8000 Fax: 612-813-8005 | |
Jason James Rasmussen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 300, Minneapolis, MN 55407 Phone: 612-863-6800 | |
Dr. Katherin Eliza Leckie, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-6800 Fax: 612-863-6006 | |
Dr. Edmund Chute, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-7501 Fax: 612-863-1585 |