| Randolph W Hurley, MD | |
|
640 Jackson Street, Mc 11503f, St Paul, MN 55101-2502 | |
| (651) 254-3448 | |
| (651) 254-3470 |
| Full Name | Randolph W Hurley |
|---|---|
| Gender | Male |
| Speciality | Hematology/oncology |
| Experience | 39 Years |
| Location | 640 Jackson Street, St Paul, 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 |
|---|---|---|---|
| 1033184239 | NPI | - | NPPES |
| 142887000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RH0003X | Internal Medicine - Hematology & Oncology | 34608 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Wisconsin Health | Baldwin, WI | Hospital |
| Regions Hospital | Saint paul, MN | Hospital |
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| River Falls Area Hospital | River falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baldwin Area Medical Center Inc | 7911800586 | 87 |
| Group Health Plan Inc | 1759293954 | 1637 |
| Entity Name | Amery Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763518 PECOS PAC ID: 2769391960 Enrollment ID: O20040131000207 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217 |
| Entity Name | Baldwin Area Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467496133 PECOS PAC ID: 7911800586 Enrollment ID: O20040310000505 |
| Entity Name | Westfields Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881640183 PECOS PAC ID: 2264490960 Enrollment ID: O20090122000350 |
| Mailing Address | Practice Location Address |
|---|---|
| Randolph W Hurley, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Randolph W Hurley, MD 640 Jackson Street, Mc 11503f, St Paul, MN 55101-2502 Ph: (651) 254-3448 |
William Robert Jahnke Ii, MD Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661 | |
Dr. Neil P Phelan, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857 | |
Dr. Josaleen Muzquiz Davis, MD Hematology & Oncology Medicare: May Accept Medicare Assignments Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006 | |
Jeffrry P Jaffe, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Ghaziuddin A Qadri, MBBS Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 | |
Mohamed A Hagi Aden, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 |