| Dr Stephen Roger Setterberg, MD | |
|
6545 France Ave S, Suite 302, Edina, MN 55435-2131 | |
| (952) 230-9100 | |
| (952) 544-1500 |
| Full Name | Dr Stephen Roger Setterberg |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 6545 France Ave S, Edina, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255493565 | NPI | - | NPPES |
| 152T45E | Other | ND | BCBC |
| 18653 | Medicaid | ND | |
| 539860600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 36051 (Minnesota) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 36051 (Minnesota) | Primary |
| Entity Name | St Croix Psychiatric Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881849586 PECOS PAC ID: 9335288786 Enrollment ID: O20091125000166 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Stephen Roger Setterberg, MD 12915 63rd Ave N, Maple Grove, MN 55369-6001 Ph: (763) 383-5800 | Dr Stephen Roger Setterberg, MD 6545 France Ave S, Suite 302, Edina, MN 55435-2131 Ph: (952) 230-9100 |
Dr. Sujit Ram Varma, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4444 W 76th St Ste 400, Edina, MN 55435 Phone: 612-746-5888 | |
Paul Jan Melichar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 5512 Brook Drive, Edina, MN 55439 Phone: 952-941-3136 | |
Kelsey Leigh Gilles, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6363 France Ave S, Edina, MN 55435 Phone: 952-230-9100 | |
Sarah M Benish, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St, Suite 150, Edina, MN 55435 Phone: 952-920-7200 Fax: 763-302-4234 | |
Dr. Olukayode O Awosika, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 6600 France Ave S Ste 415, Edina, MN 55435 Phone: 952-303-6832 Fax: 952-303-3434 | |
Dr. Bruce Ira Idelkope, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St, Suite 150, Edina, MN 55435 Phone: 952-920-7200 Fax: 763-302-4234 | |
Kristen Caruso Case, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 6363 France Ave S Ste 200, Edina, MN 55435 Phone: 952-230-9100 Fax: 952-922-2525 |