| Timothy P Ceynowa, MD | |
|
1601 Sioux Valley Drive, Luverne, MN 56156 | |
| (507) 283-4476 | |
| (507) 283-9086 |
| Full Name | Timothy P Ceynowa |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1601 Sioux Valley Drive, Luverne, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518959915 | NPI | - | NPPES |
| 041575800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27823 (Minnesota) | Primary |
| Entity Name | Sanford Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831178052 PECOS PAC ID: 0244143824 Enrollment ID: O20040115000943 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy P Ceynowa, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9556 | Timothy P Ceynowa, MD 1601 Sioux Valley Drive, Luverne, MN 56156 Ph: (507) 283-4476 |
Stephan L Chesley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Drive, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 | |
Diane L Kennedy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Drive, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 | |
Jennifer L Thone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Sioux Valley Dr, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 | |
Richard J Morgan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 Sioux Valley Drive, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 | |
Joshua J Crabtree, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1601 Sioux Valley Drive, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 | |
Gregory J Kuiper, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Sioux Valley Drive, Luverne, MN 56156 Phone: 507-283-4476 Fax: 507-283-9086 |