| Gregory Alan Haines, DO | |
|
11841 Owatonna St Ne, Blaine, MN 55449-3919 | |
| (763) 205-6555 | |
| Not Available |
| Full Name | Gregory Alan Haines |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 11841 Owatonna St Ne, Blaine, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376558205 | NPI | - | NPPES |
| 1376558205 | Other | MN | DAKOTA CARE |
| 415 | Other | MN | AMERICA'S PPO |
| 636518300 | Medicaid | MN | |
| 43538000 | Medicaid | WI | |
| 1604662 | Other | MN | MEDICA |
| 343C1HA | Other | MN | BLUE COSS AND BLUE SHIELD OF MN |
| 61477HA | Other | MN | BLUE CROSS AND BLUE SHIELD OF MINNESOTA |
| HP25845 | Other | MN | HEALTHPARTNERS |
| 253016 | Other | MN | MIDLANDS CHOICE INC |
| 0762633 | Medicaid | IA | |
| 124717 | Other | MN | UCARE |
| 960371014447 | Other | MN | PREFERRED ONE |
| P00377639 | Other | MN | RAILROAD MEDICARE MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 39638 (Minnesota) | Primary |
| Entity Name | Mankato Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Alan Haines, DO 11841 Owatonna St Ne, Blaine, MN 55449-3919 Ph: (763) 205-6555 | Gregory Alan Haines, DO 11841 Owatonna St Ne, Blaine, MN 55449-3919 Ph: (763) 205-6555 |
Stephen J Handler, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4365 Pheasant Ridge Dr Ne Ste 106, Blaine, MN 55449 Phone: 888-938-3838 Fax: 888-919-1083 |