| Dr Tonya Lynne Bryan, MD | |
|
13819 Hanson Blvd Nw, Andover, MN 55304-7608 | |
| (763) 572-5710 | |
| (763) 862-4490 |
| Full Name | Dr Tonya Lynne Bryan |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 13819 Hanson Blvd Nw, Andover, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619939741 | NPI | - | NPPES |
| 128387 | Other | MN | UCARE MN |
| 59G17BR | Other | MN | BCBS OF MN |
| 011648300 | Medicaid | MN | |
| 6605841 | Other | MN | MEDICA UC |
| HP35365 | Other | MN | HEALTHPARTNERS |
| 1030993 | Other | MN | PREFERRED ONE |
| 1201818 | Other | MN | MEDICA |
| 1594350 | Other | MN | AMERICA'S PPO |
| 7978447 | Other | MN | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 43377 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tonya Lynne Bryan, MD 6401 University Ave Ne, Fridley, MN 55432-4341 Ph: (763) 572-5710 | Dr Tonya Lynne Bryan, MD 13819 Hanson Blvd Nw, Andover, MN 55304-7608 Ph: (763) 572-5710 |
Areen Mahrya Goraya, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-392-4001 | |
Dr. Tracy L Ricke, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3360 S Coon Creek Dr, Andover, MN 55304 Phone: 612-298-6144 | |
Dr. Lisa Ann Bishop, MBCHB Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4600 | |
Alysia Washington, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 855-324-7843 | |
Allen Praxidio Bergstedt, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 612-442-3996 | |
Trinh To, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 855-324-7843 |