| Kenneth C Starks, MD | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 672-6000 | |
| Not Available |
| Full Name | Kenneth C Starks |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 39 Years |
| Location | 2450 Riverside Ave, Minneapolis, 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 |
|---|---|---|---|
| 1487799110 | NPI | - | NPPES |
| 1007641 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3297 (Alaska) | Secondary |
| 207R00000X | Internal Medicine | 65750 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gold Star Longevity And Wellness, Llc | 3173863388 | 6 |
| Entity Name | Gold Star Longevity & Wellness, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427532613 PECOS PAC ID: 3173863388 Enrollment ID: O20190326003103 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth C Starks, MD 607 Old Steese Hwy, Pmb 314, Fairbanks, AK 99701-3131 Ph: (907) 458-5178 | Kenneth C Starks, MD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 672-6000 |
Pascal Frino, M.D Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183 | |
Dr. Ronald Alexander Reilkoff, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Traci Arnette Roberts, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 | |
Eugenia Shmidt, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511 | |
Daniel Tesfaye Kebed, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098 | |
Amr Idris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St Ste 300, Minneapolis, MN 55407 Phone: 612-863-1681 | |
Tenzin Yangchen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026 |