| Dr Samuel Branch Kieley, MD | |
|
6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 | |
| (651) 999-6800 | |
| (651) 999-6830 |
| Full Name | Dr Samuel Branch Kieley |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 18 Years |
| Location | 6025 Lake Rd, 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 |
|---|---|---|---|
| 1003058546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 56349 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Lompoc Valley Medical Center | Lompoc, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Urology Associates Of The Central Coast | 4486750049 | 11 |
| Entity Name | Urology Associates Of The Central Coast |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881785764 PECOS PAC ID: 4486750049 Enrollment ID: O20070428000115 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Branch Kieley, MD 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800 | Dr Samuel Branch Kieley, MD 6025 Lake Rd, Suite 200, Woodbury, MN 55125-1712 Ph: (651) 999-6800 |
Halle Foss, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd Ste 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 833-905-0989 | |
Dr. Basir U Tareen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Dr. David Nathan Prall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Aaron Jeremy Milbank, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Todd David Brandt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Dr. Douglas Allen Schow, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2025 Woodlane Dr, Woodbury, MN 55125 Phone: 651-730-0775 Fax: 651-730-0819 |