| Jason Michael Prostrollo, DO | |
|
1835 County Road C W, Roseville, MN 55113-1352 | |
| (763) 785-4300 | |
| (763) 785-7779 |
| Full Name | Jason Michael Prostrollo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1835 County Road C W, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558659615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 57872 (Minnesota) | Primary |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Michael Prostrollo, DO 1835 County Road C W, Roseville, MN 55113-1352 Ph: (763) 785-4300 | Jason Michael Prostrollo, DO 1835 County Road C W, Roseville, MN 55113-1352 Ph: (763) 785-4300 |
Dr. Byron Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Shryer Ave W, Roseville, MN 55113 Phone: 651-633-9080 | |
Dr. Douglas Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5140 | |
Dr. Forrest Blanton Bessinger Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Rosewood Ln N, Roseville, MN 55113 Phone: 651-636-8534 | |
Heidi Currier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 | |
Samantha Talerico, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2436 Cleveland Ave N, Roseville, MN 55113 Phone: 651-645-4693 |