DR. HANNAH CARLSON-DONOHOE ESDAL M.D. - NPI 1053791392

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 208000000X.

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About Dr. Hannah Carlson-donohoe Esdal M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HANNAH CARLSON-DONOHOE ESDAL M.D. (NPI 1053791392) is an individual pediatrics provider in Woodbury, Minnesota, licensed in Minnesota (63048) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053791392

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. HANNAH CARLSON-DONOHOE ESDALCredential: M.D.

Location Address9680 TAMARACK RD STE 100Woodbury, MN 55125

Mailing Address9680 Tamarack Rd Ste 100Woodbury, MN 55125-2623 · (651) 738-9001

Phone(651) 738-9001

Sole ProprietorYes

Enumeration DateJune 2, 2015

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1053791392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MN · 63048

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

9680 TAMARACK RD STE 100, Woodbury, MN 55125

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Secondary Practice Locations 2

Location 1717 Delaware St SE, 1932K (Campus Delivery Code)Minneapolis, MN 55414-2959 · Phone (612) 626-2953

Location 27920 Old Cedar Ave SBloomington, MN 55425-1207 · Phone (952) 428-1800 · Fax (952) 428-1723

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hannah Carlson-donohoe Esdal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LINDSAY LEE BRAGG M.D.

Pediatrics