| Ms Anna G Rakovshik, MD | |
|
4155 County Road 101 N, Plymouth, MN 55446-2307 | |
| (952) 993-8900 | |
| Not Available |
| Full Name | Ms Anna G Rakovshik |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 4155 County Road 101 N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194772319 | NPI | - | NPPES |
| 348482000 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 47934 (Wisconsin) | Secondary |
| 208000000X | Pediatrics | 56694 (Minnesota) | Primary |
| 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 |
|---|---|
| Ms Anna G Rakovshik, MD 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Ms Anna G Rakovshik, MD 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: (952) 993-8900 |
Dr. Keena Yue Leung, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909 | |
Dr. Amy C Burt, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 | |
Dr. Megan M. Reilly, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2855 Campus Dr, #350, Plymouth, MN 55441 Phone: 763-520-1200 Fax: 763-520-1201 | |
Caroline Ruth Mathews, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900 Fax: 952-993-8909 | |
Jennifer Exo, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11505 36th Ave N, Plymouth, MN 55441 Phone: 763-509-3800 | |
Dr. Gary E. Nichols, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, #350, Plymouth, MN 55441 Phone: 763-520-1200 Fax: 763-520-1201 |