| Dr Henry Kah Min Bong, MD | |
|
500 Osborne Rd, #110, Fridley, MN 55432 | |
| (763) 236-2075 | |
| (763) 236-2080 |
| Full Name | Dr Henry Kah Min Bong |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 54 Years |
| Location | 500 Osborne Rd, Fridley, 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 |
|---|---|---|---|
| 1831213438 | NPI | - | NPPES |
| 1831213438 | Medicaid | WI | |
| 428302300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 22670020 (Wisconsin) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 26086 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Burnett Medical Center Inc | 2163314931 | 19 |
| Aspirus Medford Hospital And Clinics Inc | 5799688602 | 61 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | Aspirus Medford Hospital & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285703173 PECOS PAC ID: 5799688602 Enrollment ID: O20040129000007 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Burnett Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356499784 PECOS PAC ID: 2163314931 Enrollment ID: O20040326000457 |
| Entity Name | Watertown Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770964363 PECOS PAC ID: 8022329408 Enrollment ID: O20150626000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Kah Min Bong, MD 500 Osborne Rd, #110, Fridley, MN 55432 Ph: (763) 236-2075 | Dr Henry Kah Min Bong, MD 500 Osborne Rd, #110, Fridley, MN 55432 Ph: (763) 236-2075 |
Lisa R Mattson, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2505 | |
Mary Zygmunt, DO Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-786-6011 | |
Lex Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-236-2500 Fax: 763-236-2505 | |
Donald A Pavelka, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 500 Osborne Rd Ne, Suite 260, Fridley, MN 55432 Phone: 763-783-8155 Fax: 763-783-1373 | |
Dr. Nicholas W Hamel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432 Phone: 763-786-6011 | |
Dr. Cecil Emerson Bassett, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6401 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5963 |