| Justin David Cohen, | |
|
295 Phalen Blvd, Saint Paul, MN 55130-2400 | |
| (651) 495-6200 | |
| (952) 883-9677 |
| Full Name | Justin David Cohen |
|---|---|
| Gender | Male |
| Speciality | Neurological Surgery |
| Location | 295 Phalen Blvd, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508367277 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207T00000X | Neurological Surgery | A153432 (California) | Secondary |
| 207T00000X | Neurological Surgery | 77166 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin David Cohen, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Justin David Cohen, 295 Phalen Blvd, Saint Paul, MN 55130-2400 Ph: (651) 495-6200 |
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 |