| Michael J Legris, MD | |
|
6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 | |
| (612) 823-8001 | |
| (612) 823-1010 |
| Full Name | Michael J Legris |
|---|---|
| Gender | Male |
| Speciality | Nephrology |
| Experience | 31 Years |
| Location | 6601 Lyndale Ave S, Richfield, 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 |
|---|---|---|---|
| 1780601567 | NPI | - | NPPES |
| 839987 | Other | MN | AMERICA'S PPO |
| HP28750 | Other | MN | HEALTHPARTNERS |
| 1020250 | Other | MN | PREFERRED ONE |
| 3100020 | Other | MN | MEDICA |
| 123453C028 | Other | MN | UCARE |
| 32571800 | Medicaid | WI | |
| 916317400 | Medicaid | MN | |
| 02F45LE | Other | MN | BCBSMN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 41665 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fmc Dialysis - Hutchinson | Hutchinson, MN | Dialysis facility |
| Fmc - Southtown Dialysis | Bloomington, MN | Dialysis facility |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Memorial Health Care | 0042123028 | 469 |
| Allina Health System | 4587573613 | 3584 |
| Kidney Specialists Of Minnesota, Pa | 5092616029 | 33 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Kidney Specialists Of Minnesota Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629010228 PECOS PAC ID: 5092616029 Enrollment ID: O20040407001085 |
| Entity Name | Regency Hospital Of Minneapolis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770585382 PECOS PAC ID: 0345203840 Enrollment ID: O20050328000075 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Legris, MD 6200 Shingle Creek Pkwy, Suite 260, Brooklyn Center, MN 55430-2128 Ph: (763) 561-5349 | Michael J Legris, MD 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 Ph: (612) 823-8001 |
Dr. Manji Belinda Osifeso, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 790 West 66th Street, Hcmc Richfield Clinic, Richfield, MN 55423 Phone: 612-873-6963 | |
Amy Brendel, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 407 W 66th St, Richfield, MN 55423 Phone: 612-798-8800 Fax: 612-798-8816 | |
Deirdre Ann Palmer, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423 Phone: 612-823-8001 | |
Christopher Wh Hall, D.O. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423 Phone: 612-823-8001 Fax: 612-823-1010 | |
James Peter Gitter, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423 Phone: 612-823-8001 Fax: 612-823-1010 | |
Tina Ann Martin, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 407 W 66th St, Richfield, MN 55423 Phone: 612-798-8800 Fax: 612-798-8816 | |
Kimberlee Ann Thielen, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423 Phone: 612-823-8001 Fax: 612-823-1010 |