| William D Payne, MD | |
|
516 Delaware Street Se, Pwb Second Floor, Clinic 2a, Minneapolis, MN 55455 | |
| (612) 626-6100 | |
| Not Available |
| Full Name | William D Payne |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 516 Delaware Street Se, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689779993 | NPI | - | NPPES |
| 37-12454 | Other | MN | MEDICA CHOICE |
| 604794 | Other | MN | ARAZ |
| 082982 | Other | MN | FAIRVIEW |
| 1009266 | Other | MN | PREFERRED ONE |
| HP22196 | Other | MN | HEALTH PARTNERS |
| 084587600 | Medicaid | MN | |
| 17-00026 | Other | MN | MEDICA PRIMARY |
| 2T102PA | Other | MN | BLUE CROSS BLUE SHIELD |
| 101592 | Other | MN | UCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 22417 (Minnesota) | Primary |
| 2086S0129X | Surgery - Vascular Surgery | 22417 (Minnesota) | Secondary |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| William D Payne, MD 420delaware Street Se, Mmd 292, University Of Minnesota Physicians, Minneapolis, MN 55455 Ph: (612) 626-6100 | William D Payne, MD 516 Delaware Street Se, Pwb Second Floor, Clinic 2a, Minneapolis, MN 55455 Ph: (612) 626-6100 |
Jessica M Gutierrez, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2545 Chicago Ave, Suite 601, Minneapolis, MN 55404 Phone: 612-863-7770 Fax: 612-863-7772 | |
Thomas Mark Suszynski, MD, PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-273-8383 | |
Alexander Wu, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Ernest William Lampe, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3329 University Avenue Se, Minneapolis, MN 55414 Phone: 612-454-2260 Fax: 612-454-2340 | |
Robert Hampton Rich, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, #550, Minneapolis, MN 55404 Phone: 612-813-8000 Fax: 612-813-8005 | |
Jason James Rasmussen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St, Suite 300, Minneapolis, MN 55407 Phone: 612-863-6800 | |
Dr. Katherin Eliza Leckie, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 800 E 28th St Ste H2100, Minneapolis, MN 55407 Phone: 612-863-6800 Fax: 612-863-6006 |