| Roman P Smulka, MD | |
|
15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover, Andover, MN 55304-3554 | |
| (763) 587-4600 | |
| (763) 587-4615 |
| Full Name | Roman P Smulka |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 15245 Bluebird St Nw, Andover, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043284268 | NPI | - | NPPES |
| 668585400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27033 (Minnesota) | Primary |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Roman P Smulka, MD 15245 Bluebird St Nw, Anoka, MN 55304-3538 Ph: (763) 587-4600 | Roman P Smulka, MD 15245 Bluebird St Nw, Mail Stop 39200a Riverway Clinic - Andover, Andover, MN 55304-3554 Ph: (763) 587-4600 |
Steve G. Applebaum, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 15245 Bluebird Street Nw, Healthpartners Riverway Andover Urgent Care, Andover, MN 55304 Phone: 763-587-4688 Fax: 763-587-4662 | |
Dr. Stephen William Robinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 | |
Dr. Laurie Ann Mcleod-lorence, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4415 | |
John W Gfrerer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304 Phone: 763-712-6000 Fax: 763-712-6090 | |
Jaya Durvasula, Family Medicine Medicare: Medicare Enrolled Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4600 Fax: 763-587-4615 | |
Mrs. Marianne Shuchin Liu, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13819 Hanson Blvd. Nw, Fair View Clinic, Andover, MN 55304 Phone: 763-862-4477 Fax: 319-272-2107 |