| Dr James Theodore Dorrian, MD | |
|
1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 | |
| (651) 241-9700 | |
| Not Available |
| Full Name | Dr James Theodore Dorrian |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 12 Years |
| Location | 1021 Bandana Blvd E Ste 100, Saint Paul, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548503576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | AA5343695 (New York) | Secondary |
| 207N00000X | Dermatology | 63681 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tareen Dermatology Pa | 8123288156 | 35 |
| Entity Name | Tareen Dermatology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063782621 PECOS PAC ID: 8123288156 Enrollment ID: O20120328000470 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Theodore Dorrian, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Dr James Theodore Dorrian, MD 1021 Bandana Blvd E Ste 100, Saint Paul, MN 55108-5109 Ph: (651) 241-9700 |
Andrea Langeveld, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
John Stansbury, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-641-7000 Fax: 651-641-7166 | |
Jerry Wayne Stanke, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Jessica A Healy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3555 Willow Lake Blvd, Suite 240, Saint Paul, MN 55110 Phone: 651-770-0110 Fax: 651-770-0134 | |
Katherine E Brick, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 | |
Dennis M Leahy, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 393 Dunlap St N, Suite 720, Saint Paul, MN 55104 Phone: 651-645-3628 | |
Neal A Foman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7580 Fax: 651-254-7584 |