| Kevin M Steadland, MD | |
|
3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433-2569 | |
| (763) 236-9000 | |
| Not Available |
| Full Name | Kevin M Steadland |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 3960 Coon Rapids Blvd Nw, Coon Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417917204 | NPI | - | NPPES |
| 292565600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 36427 (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 |
| Entity Name | St. Joseph's Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521 |
| Entity Name | St. Joseph's Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20061104000649 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin M Steadland, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Kevin M Steadland, MD 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433-2569 Ph: (763) 236-9000 |
Dr. Mallory Jo Yelenich-huss, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 1, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Dr. Agnieszka S Hatfield, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-1900 Fax: 763-236-9010 | |
Martin Zadnik, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 | |
Alan Stuart Johnson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3960 Coon Rapids Blvd Nw, Suite 104, Coon Rapids, MN 55433 Phone: 763-236-9000 | |
Megan Pouliot, DNP Surgery Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-8124 | |
William J Mohr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 130, Coon Rapids, MN 55433 Phone: 763-236-9000 Fax: 763-236-9010 |