| Dr Paul A Kettler, MD | |
|
559 Capitol Blvd, Saint Paul, MN 55103-2101 | |
| (651) 326-2400 | |
| (651) 326-2440 |
| Full Name | Dr Paul A Kettler |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 33 Years |
| Location | 559 Capitol Blvd, Saint Paul, 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 |
|---|---|---|---|
| 1235194598 | NPI | - | NPPES |
| 1008503 | Other | MN | PREFERRED ONE |
| 4648605 | Other | MN | AETNA |
| 08F53KE | Other | MN | BCBS OF MN |
| HP17709 | Other | MN | HEALTHPARTNERS |
| 21983 | Other | MN | AMERICA'S PPO |
| 111163 | Other | MN | UCARE |
| 0400483 | Other | MN | MEDICA |
| 042717900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 38222 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Croix Regional Medical Center | 9335032184 | 109 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul A Kettler, MD 201 E Nicollet Blvd, Burnsville, MN 55337-1321 Ph: (952) 892-2117 | Dr Paul A Kettler, MD 559 Capitol Blvd, Saint Paul, MN 55103-2101 Ph: (651) 326-2400 |
Wojciech Kraszkiewicz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Nicholas Charles Boysen, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 | |
Dr. Joel E Money, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-290-0133 Fax: 651-241-2910 | |
Christopher Edward Cantoria Garces, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-241-5511 | |
Nathan M Frink, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1690 University Ave W, Suite 570, Saint Paul, MN 55104 Phone: 651-232-4800 Fax: 651-232-4899 | |
Dr. Andrew Caraganis, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7670 Fax: 651-254-7676 | |
Dr. Patrick George Manning, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |