| Mrs Jyothi Bhanu Kesha, MD | |
|
500 Osborne Rd Ne, Suite 240, Fridley, MN 55432-2765 | |
| (763) 783-8582 | |
| (763) 783-8616 |
| Full Name | Mrs Jyothi Bhanu Kesha |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 34 Years |
| Location | 500 Osborne Rd Ne, Fridley, 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 |
|---|---|---|---|
| 1558358796 | NPI | - | NPPES |
| 307127800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 42668 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jyothi Bhanu Kesha, MD 2550 University Ave W, Suite 240n, Saint Paul, MN 55114-1052 Ph: (651) 999-6909 | Mrs Jyothi Bhanu Kesha, MD 500 Osborne Rd Ne, Suite 240, Fridley, MN 55432-2765 Ph: (763) 783-8582 |
Hoo Yin Wong, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
David John Streitz, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 240, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
Joseph W. Akornor, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432 Phone: 651-999-6800 Fax: 651-999-6830 | |
Dr. Michael Long Tran, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5963 | |
Gregory R Hanson, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne, Suite 120, Fridley, MN 55432 Phone: 763-783-8582 Fax: 763-783-8616 | |
Mr. Lee Baumgarten, Urology Medicare: Accepting Medicare Assignments Practice Location: 500 Osborne Rd Ne Ste 120, Fridley, MN 55432 Phone: 651-999-6800 Fax: 651-999-6970 |