| Michael N Stiffman, MD | |
|
8450 Season Pkwy, Mail Stop 32900a, Woodbury, MN 55125-4402 | |
| (651) 702-5300 | |
| (651) 702-5305 |
| Full Name | Michael N Stiffman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 8450 Season Pkwy, Woodbury, 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 |
|---|---|---|---|
| 1093787103 | NPI | - | NPPES |
| 455226100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36978 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Park Nicollet Clinic | 7911819438 | 1611 |
| Group Health Plan Inc | 1759293954 | 1487 |
| 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 | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael N Stiffman, MD 8100 34th Ave S, Mail Stop 21110q, Bloomington, MN 55425-1672 Ph: (952) 883-5463 | Michael N Stiffman, MD 8450 Season Pkwy, Mail Stop 32900a, Woodbury, MN 55125-4402 Ph: (651) 702-5300 |
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: Accepting Medicare Assignments 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: Medicare Enrolled Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 |