| Ryan J Bortolon, MD | |
|
2025 E River Parkway, Shriners Hospitals For Children Twin Cities, Minneapolis, MN 55414-3604 | |
| (612) 596-6187 | |
| (612) 339-7634 |
| Full Name | Ryan J Bortolon |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 24 Years |
| Location | 2025 E River Parkway, Minneapolis, 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 |
|---|---|---|---|
| 1831178623 | NPI | - | NPPES |
| 380440200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 46172 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Allina United Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metropolitan Anesthesia Network Llp | 5698689123 | 497 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan J Bortolon, MD P.o. Box 209036, Shriners Hospitals For Children Twin Cities, Dallas, TX 75320-9036 Ph: (813) 281-8478 | Ryan J Bortolon, MD 2025 E River Parkway, Shriners Hospitals For Children Twin Cities, Minneapolis, MN 55414-3604 Ph: (612) 596-6187 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Vinod Kumar, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 | |
Kenneth M Kiberenge, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 Phone: 612-624-2497 |