| Pamela Kolacz, MD | |
|
6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 | |
| (763) 268-0400 | |
| (763) 268-0405 |
| Full Name | Pamela Kolacz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 34 Years |
| Location | 6320 Wedgwood Rd N, Maple Grove, 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 |
|---|---|---|---|
| 1205852480 | NPI | - | NPPES |
| 22G83KO | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42205 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Kolacz, MD 6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 Ph: (763) 268-0400 | Pamela Kolacz, MD 6320 Wedgwood Rd N, Maple Grove, MN 55311-3647 Ph: (763) 268-0400 |
Dr. Pamela D Doorenbos, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369 Phone: 763-494-7500 Fax: 763-494-7501 | |
Keith Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102, Maple Grove, MN 55369 Phone: 763-581-5900 Fax: 763-581-5901 | |
Dr. Mark S Hench, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 | |
Mirtha Nesheim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 763-420-5822 Fax: 763-420-6387 | |
Ronald B Boeding, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 | |
Moushumi Meher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 |