| Jon I Mciver, MD | |
|
295 Phalen Blvd, Saint Paul, MN 55130-2400 | |
| (651) 495-6600 | |
| (952) 883-9677 |
| Full Name | Jon I Mciver |
|---|---|
| Gender | Male |
| Speciality | Neurosurgery |
| Experience | 26 Years |
| Location | 295 Phalen Blvd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689653792 | NPI | - | NPPES |
| 649666100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | 42697 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stella Maris Inc | Timonium, MD | Home health agency |
| Mercy Medical Center Inc | Baltimore, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Neurosurgical Specialty Services, Llc | 0244543635 | 7 |
| Fine Bryant And Wah Inc | 0345237327 | 23 |
| Entity Name | Neurosurgical Specialty Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013303213 PECOS PAC ID: 0244543635 Enrollment ID: O20150714001377 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon I Mciver, MD 10016 Indigo Dr, Eden Prairie, MN 55347-1206 Ph: (612) 751-1414 | Jon I Mciver, MD 295 Phalen Blvd, Saint Paul, MN 55130-2400 Ph: (651) 495-6600 |
Dr. Asif Karimbhai Maknojia, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-495-6600 Fax: 952-883-9677 | |
Nicole Lyons, Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-5151 Fax: 651-254-3123 | |
Mr. Ramachandra Prasad Tummala, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 310 Smith Ave N Ste 440, Saint Paul, MN 55102 Phone: 651-241-6550 Fax: 651-241-6586 | |
Steven Elliott Swanson, MD Neurological Surgery Medicare: Not Enrolled in Medicare Practice Location: 225 Smith Ave N, Suite 200, Saint Paul, MN 55102 Phone: 651-241-6550 | |
Dr. Meysam A Kebriaei, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 347 Smith Ave N Ste 301, Saint Paul, MN 55102 Phone: 651-220-5230 | |
Alexander Michael Mason, MD Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-495-6600 Fax: 651-254-3123 | |
Angelique M Ruff, M.D. Neurological Surgery Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6600 Fax: 952-883-9677 |