| Dr Stella K Evans, MD | |
|
3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 | |
| (763) 588-0758 | |
| Not Available |
| Full Name | Dr Stella K Evans |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 3366 Oakdale Ave N, Robbinsdale, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396712022 | NPI | - | NPPES |
| 814650100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 47409 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Children's Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939 |
| Entity Name | Children's Clinic Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stella K Evans, MD 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 Ph: (763) 588-0758 | Dr Stella K Evans, MD 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422-2948 Ph: (763) 588-0758 |
Dr. James Emerson Mapellentz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-0962 | |
Molly F Wyman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-0933 Fax: 763-257-8356 | |
Dr. Fatima R. Jiwa, MBCHB Pediatrics Medicare: Medicare Enrolled Practice Location: 3366 Oakdale Ave N, #501, Robbinsdale, MN 55422 Phone: 763-588-0758 Fax: 763-588-8505 |