| Kenneth Dean Olsen, MD | |
|
14000 Fairview Dr, Burnsville, MN 55337-5713 | |
| (952) 993-3230 | |
| (952) 993-8438 |
| Full Name | Kenneth Dean Olsen |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 37 Years |
| Location | 14000 Fairview Dr, Burnsville, 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 |
|---|---|---|---|
| 1528028271 | NPI | - | NPPES |
| 993717000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 39403 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth Dean Olsen, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kenneth Dean Olsen, MD 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-3230 |
Dr. Patrick Brian Ebeling, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. James Michael Schaffhausen, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. Randall Alfred Lewis, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Dr. Sunny S Kim, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Highway 13 E Ste 211, Burnsville, MN 55337 Phone: 320-763-8888 Fax: 952-405-9760 | |
Dr. Neil Rodman Johnson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th Street, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Jason Scott Holm, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 W 140th St, Suite 201, Burnsville, MN 55337 Phone: 952-808-3000 Fax: 952-808-3001 | |
Eileen Eggenberger, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14050 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 |