| Dr Derek Allen Moline, OD | |
|
1210 County Rd E, Arden Hills, MN 55112-3783 | |
| (651) 523-8400 | |
| Not Available |
| Full Name | Dr Derek Allen Moline |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 24 Years |
| Location | 1210 County Rd E, Arden Hills, 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 |
|---|---|---|---|
| 1588630925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2783 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Inc | 1759293954 | 1627 |
| Provider Name | Group Health Plan Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Provider Name | Jeffrey W. Williams, O.D. & Associates, PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265502272 PECOS PAC ID: 6709781180 Enrollment ID: O20080903000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Derek Allen Moline, OD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: Not Available | Dr Derek Allen Moline, OD 1210 County Rd E, Arden Hills, MN 55112-3783 Ph: (651) 523-8400 |
Ka Zoua Vang, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1210 County Rd E, Arden Hills, MN 55112 Phone: 651-523-8400 |
David William Heesch, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1210 County Road E W, Arden Hills, MN 55112 Phone: 651-523-8400 Fax: 651-490-3709 |
Jon Olof Olson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1210 County Road E W, Arden Hills, MN 55112 Phone: 651-523-8400 Fax: 651-484-9650 |