| Dr John R Balfanz, MD | |
|
233 Grand Ave, St Paul, MN 55102 | |
| (651) 227-7806 | |
| (651) 256-6707 |
| Full Name | Dr John R Balfanz |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 233 Grand Ave, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669452561 | NPI | - | NPPES |
| 048087800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 20262 (Minnesota) | Primary |
| Entity Name | Innovis Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215125463 PECOS PAC ID: 9931298155 Enrollment ID: O20071211000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John R Balfanz, MD Essentia Health Duluth Clinic - Mcl2cred, 400 East Third Street, Duluth, MN 55805-1951 Ph: (218) 786-8319 | Dr John R Balfanz, MD 233 Grand Ave, St Paul, MN 55102 Ph: (651) 227-7806 |
Yoav H Messinger, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 347 North Smith Avenue, St Paul, MN 55102 Phone: 651-220-6732 Fax: 651-220-6005 | |
Kimberly K Rathmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 451 North Dunlap Street, Mail Stop 32700a, St Paul, MN 55104 Phone: 651-999-4700 Fax: 651-999-4781 | |
Krishna M Saxena, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Children's Specialty Clinic-diabetes/endocrinology-stpl, 347 North Smith Avenue, St Paul, MN 55102 Phone: 651-220-6818 Fax: 651-220-6064 | |
Dr. Carolyn J Levitt, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 North Smith Avenue, 401, Midwest Childrens Resource Center, St Paul, MN 55102 Phone: 651-220-6750 Fax: 651-220-6770 | |
Sylvia M Sekhon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2500 Como Avenue, Mail Stop 31100a, St Paul, MN 55108 Phone: 651-641-6200 Fax: 651-641-6205 | |
Susan C Goodale, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 393 N Dunlap St, Suite 300, St Paul, MN 55104 Phone: 651-645-4693 Fax: 651-645-6503 | |
Richard D Andersen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Infectious Diseases Stpl, St Paul, MN 55102 Phone: 651-220-6444 Fax: 651-220-7233 |