| Scott D Wissink, MD | |
|
9555 Upland Lane North, Maple Grove, MN 55369 | |
| (952) 993-1440 | |
| Not Available |
| Full Name | Scott D Wissink |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 22 Years |
| Location | 9555 Upland Lane North, Maple Grove, 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 |
|---|---|---|---|
| 1942425061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD427066 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott D Wissink, MD 8170 33rd Ave S, Mail Stop 21110q P.o. Box 1309, Minneapolis, MN 55425-4516 Ph: (952) 993-1440 | Scott D Wissink, MD 9555 Upland Lane North, Maple Grove, MN 55369 Ph: (952) 993-1440 |
James Buchanan Bircher, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580 | |
Gregory R Hildebrand, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-806-5600 Fax: 952-993-1453 | |
Matthew T Rasmussen, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580 | |
Dr. Kimberly Jacobsen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N Ste 100, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Dr. Jon David Norberg, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9325 Upland Ln N Ste 255, Maple Grove, MN 55369 Phone: 763-465-4263 Fax: 763-314-2026 | |
Jeffrey H.j. Nipper, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 9325 Upland Ln N Ste 205, Maple Grove, MN 55369 Phone: 763-416-0676 Fax: 763-416-0476 | |
David Edward Hartigan, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 9630 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-520-7870 Fax: 763-520-7580 |