| Dr Mary Sue Beran, MD | |
|
15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 | |
| (952) 993-4500 | |
| Not Available |
| Full Name | Dr Mary Sue Beran |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 15111 Twelve Oaks Center Dr, Minnetonka, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033196431 | NPI | - | NPPES |
| 056018900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 40540 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospice |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mary Sue Beran, MD 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () - | Dr Mary Sue Beran, MD 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305-5201 Ph: (952) 993-4500 |
Laurel B Laden, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2020 Pine Island Rd, Minnetonka, MN 55305 Phone: 612-991-2983 | |
Lee Newcomer, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15011 Woods Edge, Minnetonka, MN 55345 Phone: 952-393-9577 | |
Randall Stoner Vollertsen, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4729 County Road 101, Minnetonka, MN 55345 Phone: 952-974-3200 | |
Michael R Wolfson, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15111 Twelve Oaks Center Dr, Minnetonka, MN 55305 Phone: 952-993-4500 | |
Brice Cowman, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 15450 Highway 7, Minnetonka, MN 55345 Phone: 763-581-8900 | |
Tana Desimone, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343 Phone: 215-776-1440 |