| Kira Novakofski, MD PHD | |
|
155 Radio Dr, Woodbury, MN 55125-2619 | |
| (952) 831-8742 | |
| Not Available |
| Full Name | Kira Novakofski |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Sports Medicine |
| Location | 155 Radio Dr, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750879037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 71807 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | 7602 (Wisconsin) | Secondary |
| 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 |
|---|---|
| Kira Novakofski, MD PHD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Kira Novakofski, MD PHD 155 Radio Dr, Woodbury, MN 55125-2619 Ph: (952) 831-8742 |
Karen J. Sedivy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Road, Woodbury, MN 55125 Phone: 651-241-3000 | |
Paul N. Sandager, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Sarah M Aldrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Christian Rich Matthews, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700 | |
Christina Juhl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Jane M Herrmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 | |
Gregory T Dunn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 |