| Mehdi Roozbahani, MD | |
|
9801 Dupont Ave S Ste 110, Bloomington, MN 55431-3179 | |
| (612) 355-6510 | |
| (612) 713-9360 |
| Full Name | Mehdi Roozbahani |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 17 Years |
| Location | 9801 Dupont Ave S Ste 110, Bloomington, 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 |
|---|---|---|---|
| 1093332041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | TRN30142 (Florida) | Secondary |
| 207WX0107X | Ophthalmology - Retina Specialist | 70631 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minnesota Retina Associates, Llc | 5698162964 | 3 |
| Entity Name | Northwest Eye Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255417002 PECOS PAC ID: 2163315045 Enrollment ID: O20040204000843 |
| Entity Name | Minnesota Retina Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356099352 PECOS PAC ID: 5698162964 Enrollment ID: O20220505000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Mehdi Roozbahani, MD 8401 Golden Valley Rd Ste 330, Golden Valley, MN 55427-4488 Ph: (612) 355-6510 | Mehdi Roozbahani, MD 9801 Dupont Ave S Ste 110, Bloomington, MN 55431-3179 Ph: (612) 355-6510 |
Honora E. Kennedy, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 | |
Kaihan Fakhar, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 8600 Nicollet Ave S, Bloomington, MN 55420 Phone: 952-541-2800 Fax: 952-886-7015 | |
Nathaniel R Gelinas, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 Fax: 952-428-1723 | |
Jill Suzanne Melicher Larson, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S, 200, Bloomington, MN 55431 Phone: 952-888-5800 | |
Thomas Lang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7920 Old Cedar Ave S, Bloomington, MN 55425 Phone: 952-428-1800 | |
Marshall Jin Huang, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9801 Dupont Ave S Ste 200, Bloomington, MN 55431 Phone: 952-888-5800 Fax: 952-567-6156 |