| Dr Randal P Sparks, DO | |
|
600 East Fairview Avenue, Olivia, MN 56277-1399 | |
| (320) 523-1460 | |
| Not Available |
| Full Name | Dr Randal P Sparks |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 600 East Fairview Avenue, Olivia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831201144 | NPI | - | NPPES |
| 51028285 | Other | AL | BLUE CROSS BLUE SHIELD |
| 529402090 | Medicaid | AL | |
| 6309683290010 | Other | CIGNA | |
| 0110005 | Other | UNITED HEALTHCARE | |
| 0004119242 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO-437 (Alabama) | Secondary |
| 207Q00000X | Family Medicine | 52538 (Minnesota) | Primary |
| Entity Name | Healthpartners Rc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Randal P Sparks, DO 600 E Park Ave, Olivia, MN 56277-1370 Ph: (320) 523-1460 | Dr Randal P Sparks, DO 600 East Fairview Avenue, Olivia, MN 56277-1399 Ph: (320) 523-1460 |
Kelli Ann Craven, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Healthy Way, Olivia, MN 56277 Phone: 320-523-3483 Fax: 320-523-3430 | |
Carin Marie Martinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Healthy Way, Olivia, MN 56277 Phone: 605-339-1783 | |
Roberta Lynn Kopel, DVM Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1605 W Lincoln Ave, Olivia, MN 56277 Phone: 320-523-5550 Fax: 320-523-5551 | |
Melissa Ann Marvin, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Healthy Way, Olivia, MN 56277 Phone: 800-916-1836 | |
Dr. Jon R Kemp, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 E Fairview Ave, Olivia, MN 56277 Phone: 320-523-1460 Fax: 320-523-1703 | |
Benjamin August Linder, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Healthy Way, Olivia, MN 56277 Phone: 320-523-1261 Fax: 320-523-1703 |