| Supreet Deshpande, MD | |
|
200 University Ave E, Saint Paul, MN 55101-2507 | |
| (651) 291-2848 | |
| (651) 602-6885 |
| Full Name | Supreet Deshpande |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 200 University Ave E, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912185398 | NPI | - | NPPES |
| 250000773 | Other | MN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 50394 (Minnesota) | Primary |
| Entity Name | Gillette Childrens Specialty Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Supreet Deshpande, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 291-2848 | Supreet Deshpande, MD 200 University Ave E, Saint Paul, MN 55101-2507 Ph: (651) 291-2848 |
Rebecca M Koerner, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6200 | |
Isaac Thomas Marsolek, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6200 | |
Kristine Kay Spiewak, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 280 North Smith Avenue, Doctors Professional Building, Saint Paul, MN 55102 Phone: 651-241-8295 | |
Travis G O'brien, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 280 Smith Ave N Ste 220, Saint Paul, MN 55102 Phone: 651-241-8295 | |
Dr. Matthew Chase Severson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-291-2848 Fax: 651-602-6885 | |
Eric Evan Kirksson, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1321 Payne Ave Unit 2, Saint Paul, MN 55130 Phone: 651-371-4880 Fax: 651-371-4881 | |
Marshall H Taniguchi, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 200 University Ave E, Saint Paul, MN 55101 Phone: 651-229-3819 Fax: 651-265-7443 |