| Jeffrey C Manlove, MD | |
|
2211 Park Ave, Minneapolis, MN 55404-3711 | |
| (612) 871-1144 | |
| (612) 871-2012 |
| Full Name | Jeffrey C Manlove |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 2211 Park Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003808049 | NPI | - | NPPES |
| 0572003 | Other | MN | PREFERREDONE |
| 31360600 | Other | MN | MEDICAID - WISCONSIN |
| 100654 | Other | MN | UCARE |
| 1014249 | Other | MN | MEDICA CHOICE |
| 20938 | Other | MN | AMERICA'S PPO |
| 060087300 | Medicaid | MN | |
| 1000010 | Other | MN | MEDICA PRIMARY |
| 38T54MA | Other | MN | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 27919 (Minnesota) | Primary |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| 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 |
|---|---|
| Jeffrey C Manlove, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 | Jeffrey C Manlove, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 871-1144 |
Richard M. Levinson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2211 Park Ave, Minneapolis, MN 55404 Phone: 612-871-1144 Fax: 612-871-2012 | |
Robert H Maisel, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, P7, Minneapolis, MN 55415 Phone: 612-873-2424 | |
Rachel Tsai Mccabe, Otolaryngology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-7692 | |
Shelby Charmaine Barrera, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 612-813-6000 | |
Sivakumar Chinnadurai, MD, MPH Otolaryngology Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave Ste 450, Minneapolis, MN 55404 Phone: 615-813-6000 | |
Samir Suresh Khariwala, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware St Se, Clinic 8a, Minneapolis, MN 55455 Phone: 612-625-7400 |