| Karl Koivisto, MD | |
|
911 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 389-1313 | |
| Not Available |
| Full Name | Karl Koivisto |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 9 Years |
| Location | 911 Northland Dr, Princeton, 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 |
|---|---|---|---|
| 1962931451 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | 13846498-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | 67132 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Centracare Health - Monticello | Monticello, MN | Hospital |
| Ely Bloomenson Community Hospital | Ely, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Health Services | 1951213057 | 673 |
| University Of Utah Adult Services | 0941525273 | 1777 |
| University Of Minnesota Physicians | 9830001189 | 149 |
| Entity Name | University Of Minnesota Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Winona Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
| Entity Name | Riverview Healthcare Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040 |
| Entity Name | Riverview Healthcare Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1487944898 PECOS PAC ID: 7810806718 Enrollment ID: O20060505000925 |
| Entity Name | Ely-bloomenson Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1770542904 PECOS PAC ID: 0042200040 Enrollment ID: O20080826000308 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200728000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Karl Koivisto, MD 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 Ph: () - | Karl Koivisto, MD 911 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-1313 |
Dr. Roseann Ekstrom, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Alex M. Basara, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Brendan M Meyer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Dr. Zahn Raubenheimer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Dr. Craig S Jones Ii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |