| John A Kosiak, MN | |
|
11850 Blackfoot St Nw Ste 150, Coon Rapids, MN 55433-2583 | |
| (763) 433-0221 | |
| (763) 433-0235 |
| Full Name | John A Kosiak |
|---|---|
| Gender | Male |
| Speciality | Radiology - Radiation Oncology |
| Location | 11850 Blackfoot St Nw Ste 150, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033101886 | NPI | - | NPPES |
| 104840 | Other | MN | UCARE |
| 30572500 | Medicaid | WI | |
| 856370500 | Medicaid | MN | |
| 2400159 | Other | MN | MEDICA |
| 24601KO | Other | MN | BLUE CROSS/BLUE SHIELD |
| HP13729 | Other | MN | HEALTH PARTNERS |
| 25137 | Other | MN | AMERICA'S PPO |
| 963070250005 | Other | MN | PREFERRED ONE |
| 110020 | Other | MN | CHOICE PLUS |
| 2400004 | Other | MN | MEDICA PRIMARY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 27894 (Minnesota) | Primary |
| Entity Name | Minneapolis Radiation Oncology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043204233 PECOS PAC ID: 8527951094 Enrollment ID: O20040206000831 |
| Mailing Address | Practice Location Address |
|---|---|
| John A Kosiak, MN 7401 Metro Blvd Ste 210, Edina, MN 55439-3086 Ph: (952) 920-4915 | John A Kosiak, MN 11850 Blackfoot St Nw Ste 150, Coon Rapids, MN 55433-2583 Ph: (763) 433-0221 |
Robert Wei Gao, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 150, Coon Rapids, MN 55433 Phone: 763-433-0221 | |
Duncan Ross Dickson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 150, Coon Rapids, MN 55433 Phone: 763-433-0221 Fax: 763-433-0235 |