| Kristina Kelly Shaffer, MD | |
|
1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 | |
| (651) 251-3300 | |
| (651) 255-3450 |
| Full Name | Kristina Kelly Shaffer |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 26 Years |
| Location | 1215 Town Centre Dr, Eagan, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730298910 | NPI | - | NPPES |
| 190170200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 43145 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology Consultants, Pa | 1850295676 | 23 |
| Entity Name | Dermatology Consultants, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568567139 PECOS PAC ID: 1850295676 Enrollment ID: O20031124000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristina Kelly Shaffer, MD 60 Plato Blvd E, Suite 270, Saint Paul, MN 55107-1827 Ph: (651) 209-1600 | Kristina Kelly Shaffer, MD 1215 Town Centre Dr, Suite 200, Eagan, MN 55123-1033 Ph: (651) 251-3300 |
Dr. Matthew James Larson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 | |
Dr. Jozef Lazar, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 | |
Noel Anthony Hauge, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 | |
Joseph Jacob Shaffer, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-255-3300 Fax: 651-255-3450 | |
Dr. Kathryn Colleen Barlow, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1215 Town Centre Dr, Suite 200, Eagan, MN 55123 Phone: 651-251-3300 Fax: 651-255-3450 |