| Dr Ilya Perepelitsyn, MD | |
|
2211 Park Ave, Minneapolis, MN 55404-3711 | |
| (612) 871-1144 | |
| (612) 871-2012 |
| Full Name | Dr Ilya Perepelitsyn |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 2211 Park Ave, 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 |
|---|---|---|---|
| 1992795058 | NPI | - | NPPES |
| 305473200 | Medicaid | MN | |
| AA11436 | Other | MA | HARVARD PILGRIM |
| J27270 | Other | MA | BLUE CROSS BLUE SHIELD |
| 34756700 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ear Nose And Throat Specialty Care Of Minnesota Pa | 3274524020 | 45 |
| Entity Name | Ear Nose & Throat Specialty Care Of Minnesota Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336175744 PECOS PAC ID: 3274524020 Enrollment ID: O20051116000590 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ilya Perepelitsyn, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 | Dr Ilya Perepelitsyn, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 |
Jeffrey C. Manlove, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Richard M. Levinson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Robert H Maisel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, P7, Minneapolis, MN 55415 Phone: 612-873-2424 | |
Rachel Tsai Mccabe, Otolaryngology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-7692 | |
Shelby Charmaine Barrera, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6000 | |
Sivakumar Chinnadurai, MD, MPH Otolaryngology Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave Ste 450, Minneapolis, MN 55404 Phone: 615-813-6000 | |
Samir Suresh Khariwala, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware St Se, Clinic 8a, Minneapolis, MN 55455 Phone: 612-625-7400 |