| Dr Owen D Vincent, DO | |
|
707 Bielenberg Dr Ste 108, Woodbury, MN 55125-1427 | |
| (763) 537-6000 | |
| Not Available |
| Full Name | Dr Owen D Vincent |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 707 Bielenberg Dr Ste 108, Woodbury, 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 |
|---|---|---|---|
| 1619263324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-04547 (Iowa) | Secondary |
| 207Q00000X | Family Medicine | 61870-21 (Wisconsin) | Secondary |
| 207Q00000X | Family Medicine | 63626 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| 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 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Owen D Vincent, DO 2104 Northdale Blvd Nw Ste 220, Coon Rapids, MN 55433-3046 Ph: (763) 537-6000 | Dr Owen D Vincent, DO 707 Bielenberg Dr Ste 108, Woodbury, MN 55125-1427 Ph: (763) 537-6000 |
Karen J. Sedivy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Road, Woodbury, MN 55125 Phone: 651-241-3000 | |
Paul N. Sandager, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Sarah M Aldrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Christian Rich Matthews, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 | |
Christina Juhl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Jane M Herrmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Gregory T Dunn, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 |