| Dr Michael John Ebertz, MD | |
|
14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5790 | |
| (952) 898-1600 | |
| Not Available |
| Full Name | Dr Michael John Ebertz |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 14000 Nicollet Ave, Burnsville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144386392 | NPI | - | NPPES |
| 225522700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 36998 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 36998 (Minnesota) | Primary |
| Entity Name | Skin Care Doctors Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851516397 PECOS PAC ID: 3870496474 Enrollment ID: O20040130000464 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael John Ebertz, MD 14000 Nicollet Ave Ste 304, Burnsville, MN 55337-5784 Ph: (952) 898-1600 | Dr Michael John Ebertz, MD 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337-5790 Ph: (952) 898-1600 |
Dr. Ashley Heurung Merten, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 | |
Dr. Matthew William Morrissey, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave Ste 304, Burnsville, MN 55337 Phone: 952-898-1600 | |
Lydia An Luu, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 14305 Southcross Dr W Ste 110, Burnsville, MN 55306 Phone: 651-340-1064 | |
Dr. Kimberly Arrington, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-3376 | |
Dr. Nicole Gunasekera, MD, MBA Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14305 Southcross Dr W Ste 110, Burnsville, MN 55306 Phone: 651-340-1064 Fax: 651-330-0429 | |
Dr. Heidi Leigh Foster, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave, Suite 304, Burnsville, MN 55337 Phone: 952-898-1600 |