| Dr Vincent Simone Jr, DPM | |
|
2945 Hazelwood St, Maplewood, MN 55109-1241 | |
| (651) 232-7800 | |
| Not Available |
| Full Name | Dr Vincent Simone Jr |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 22 Years |
| Location | 2945 Hazelwood St, Maplewood, 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 |
|---|---|---|---|
| 1427053917 | NPI | - | NPPES |
| 1205933533 | Other | PREFERRED ONE | |
| 769462800 | Medicaid | MN | |
| 43243500 | Medicaid | WI | |
| 2700627 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 750 (Minnesota) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 750 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast Home Care | Maplewood, MN | Home health agency |
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Healtheast Medical Research Institute | 3971407636 | 599 |
| Provider Name | Healtheast Medical Research Institute |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Provider Name | Fairview Express Care |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vincent Simone Jr, DPM 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: () - | Dr Vincent Simone Jr, DPM 2945 Hazelwood St, Maplewood, MN 55109-1241 Ph: (651) 232-7800 |
Maplewood Podiatry, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2520 White Bear Ave N, Suite A, Maplewood, MN 55109 Phone: 651-770-3891 Fax: 651-748-3117 | |
Maplewood Podiatry Clinic, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2599 White Bear Ave N, Maplewood, MN 55109 Phone: 651-770-3891 Fax: 651-748-3117 | |
Margaret Kedzie, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2520 White Bear Ave N Ste A, Maplewood, MN 55109 Phone: 651-770-3891 | |
Dr. Megan Grace Lawton, D.P.M., M.S. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2599 White Bear Ave N, Maplewood, MN 55109 Phone: 651-770-3891 | |
Christopher James Kedzie, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 200, Maplewood, MN 55109 Phone: 612-625-8690 | |
Maplewood Podiatry Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2520 White Bear Ave N, Suite A, Maplewood, MN 55109 Phone: 651-770-3891 Fax: 651-748-3117 |