Scott A Bangs, MD
Individual provider Active NPI Family Medicine Physician · Owatonna, MN
NPI 1912967662 · NPPES record last updated Sep 6, 2024
Key facts
- NPI
- 1912967662
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 44508 (MN)
- Practice address
- 2200 NW 26TH St
Owatonna, MN 55060-5503 - Phone
- (507) 451-1120
- Fax
- (507) 444-6287
- NPI assigned
- Mar 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Itasca Clinic and Hospital
Practice addresses (Care Compare)
1601 Golf Course Rd
Grand Rapids, MN 55744-8648
Phone (218) 326-3401
Hospital & facility affiliations
- Aveanna Home Health
- Grand Itasca Home Care
- Grand Itasca Clinic and Hospital
- Range Regional Health Services
- Grand Village
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100304000630 | MN | Practitioner - Family Practice | 2264451152 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44508 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current |
Accepting new patients | |
| Grand Itasca Clinic and Hospital | Current |
Accepting new patients | |
| Mayo Clinic Health System-Southeast Minnesota Region | Current | Accepting new patients | |
| Kaplan Woods LLC | Past | Accepting new patients |
Locations
404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285
1601 Golf Course Rd
Grand Rapids, MN 55744
Phone (218) 326-3401
111 SE 3rd St
Grand Rapids, MN 55744
Phone (218) 326-3401
2200 NW 26th St
Owatonna, MN 55060
Phone (507) 451-1120
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
Interoperability endpoints
- sbangs1471280@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 44508 | MN | Yes |
Addresses
Primary practice location
2200 NW 26TH St
Owatonna, MN 55060-5503
Mailing address
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314380500 | Medicaid | MN |
Other providers in Owatonna, MN
- Kim Willis Baker
- Ian Bakewell
- Lee Joseph Bakewell
- Sarah Baldt
- Banadir Home Health Care
- Kimberly Kay Barry
- Amy Bartz
- Robert T Beasley
- Beautere
- Beauterre Recovery Institute
All providers in Owatonna, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.