| Dr Keegan Lawrence Maxwell, MD | |
|
2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 | |
| (320) 259-1411 | |
| (320) 259-8967 |
| Full Name | Dr Keegan Lawrence Maxwell |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 25 Years |
| Location | 2351 Connecticut Ave S, Sartell, 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 |
|---|---|---|---|
| 1790712883 | NPI | - | NPPES |
| P00629856 | Other | MN | RAILROAD MEDICARE |
| 1790712883 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 12655 (South Dakota) | Primary |
| 208800000X | Urology | 51197 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prairie Lakes Healthcare System, Inc | Watertown, SD | Hospital |
| Milbank Area Hospital/avera Health | Milbank, SD | Hospital |
| Coteau Des Prairies Health Care System | Sisseton, SD | Hospital |
| Sanford Hospital Webster - Cah | Webster, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prairie Lakes Health Care System Inc | 8628987823 | 135 |
| Entity Name | Prairie Lakes Health Care System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720166002 PECOS PAC ID: 8628987823 Enrollment ID: O20040202000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keegan Lawrence Maxwell, MD 401 9th Ave Nw, Watertown, SD 57201-1548 Ph: (605) 882-7777 | Dr Keegan Lawrence Maxwell, MD 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377-2477 Ph: (320) 259-1411 |
Dr. John Kazuo Matsuura, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Andrew Peter Windsperger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Albert David Matthew, Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Dr. Christopher William Boelter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Elizabeth A Phillips, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Lori Ann Pinke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Shawn Michael Mcgee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 |