Dr Ike Burns Hasley, MD - Medicare Sports Medicine in Woodbury, MN

Dr Ike Burns Hasley, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Woodbury, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Summit Orthopedics Ltd and his current practice location is 4123 Radio Dr Ste 200, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 968-5201.

Dr Ike Burns Hasley is licensed to practice in Minnesota (license number 66225) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942794540.

Contact Information

Dr Ike Burns Hasley, MD
4123 Radio Dr Ste 200,
Woodbury, MN 55129-3303
(651) 968-5201
(651) 968-5903



Physician's Profile

Full NameDr Ike Burns Hasley
GenderMale
SpecialitySports Medicine
Experience6 Years
Location4123 Radio Dr Ste 200, Woodbury, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ike Burns Hasley attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1942794540
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234487273
  • Enrollment ID: I20190826001817

Medical Identifiers

Medical identifiers for Dr Ike Burns Hasley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942794540NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation 66225 (Minnesota)Primary
2081S0010XPhysical Medicine & Rehabilitation - Sports Medicine 66225 (Minnesota)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Orthopedics Ltd8921900374247

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ike Burns Hasley allows following entities to bill medicare on his behalf.
Entity NameSummit Orthopedics Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306899463
PECOS PAC ID: 8921900374
Enrollment ID: O20040126000035

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ike Burns Hasley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ike Burns Hasley, MD
710 Commerce Dr Ste 200,
Woodbury, MN 55125-4925

Ph: () -
Dr Ike Burns Hasley, MD
4123 Radio Dr Ste 200,
Woodbury, MN 55129-3303

Ph: (651) 968-5201

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Physical Medicine & Rehabilitation Doctors in Woodbury, MN

Mrs. Jenna Marie Swenson, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1625 Radio Dr Ste 220, Woodbury, MN 55125
Phone: 651-241-3636    
Dr. Daniel Timothy Probst, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125
Phone: 651-968-5201    
Dr. Jose Ramil Obillos Santos, M.D.
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 2090 Woodwinds Dr Ste 200, Woodbury, MN 55125
Phone: 651-968-5200    
Pooja Mundrati, D.O.
Physical Medicine & Rehabilitation
Medicare: Medicare Enrolled
Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125
Phone: 651-968-5200    Fax: 651-968-5904
Allyson Carol Maynard, PT, DPT
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 155 Radio Dr, Woodbury, MN 55125
Phone: 952-831-8742    

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