| Juan Carlos Zeballos Chavez, MD | |
|
1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 | |
| (651) 471-1166 | |
| Not Available |
| Full Name | Juan Carlos Zeballos Chavez |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 26 Years |
| Location | 1600 Saint Johns Blvd, Maplewood, 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 |
|---|---|---|---|
| 1841363223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49407-020 (Wisconsin) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 57358 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Regional Medical Center | Goodyear, AZ | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healtheast Medical Research Institute | 3971407636 | 599 |
| City Of Hope Medical Group Of Arizona Llc | 2264593474 | 119 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Carlos Zeballos Chavez, MD 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 Ph: (651) 471-1166 | Juan Carlos Zeballos Chavez, MD 1600 Saint Johns Blvd, Suite 201, Maplewood, MN 55109-1183 Ph: (651) 471-1166 |
Andrzej Petryk, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1580 Beam Ave, Maplewood, MN 55109 Phone: 651-779-7978 Fax: 651-779-7656 | |
Dr. Rahul Koranne, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7800 | |
Sherry A Moriarty, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1850 Beam Ave, Maplewood, MN 55109 Phone: 651-779-2500 Fax: 651-770-8834 | |
Endea J Curry, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800 Fax: 651-523-9801 | |
Madison Therese Brickner, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dr. Thomas Martin Hauth, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St, Maplewood, MN 55109 Phone: 651-232-7800 | |
Dominic Jamil Haddad, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000 |