| Nicholas Elliott, MD | |
|
6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 | |
| (651) 999-6800 | |
| Not Available |
| Full Name | Nicholas Elliott |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 6025 Lake Rd Ste 200, Woodbury, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932640562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 74318 (Minnesota) | Primary |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | Minnesota Urology Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912971912 PECOS PAC ID: 0840183984 Enrollment ID: O20040204000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Elliott, MD 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 Ph: (651) 999-6800 | Nicholas Elliott, MD 6025 Lake Rd Ste 200, Woodbury, MN 55125-1710 Ph: (651) 999-6800 |
Dr. Samuel Branch Kieley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Halle Foss, MD Urology Medicare: Medicare Enrolled Practice Location: 6025 Lake Rd Ste 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 833-905-0989 | |
Dr. Basir U Tareen, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Dr. David Nathan Prall, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Aaron Jeremy Milbank, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Todd David Brandt, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd, Suite 200, Woodbury, MN 55125 Phone: 651-999-6800 Fax: 651-999-6830 | |
Dr. Douglas Allen Schow, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 2025 Woodlane Dr, Woodbury, MN 55125 Phone: 651-730-0775 Fax: 651-730-0819 |