Alex M Basara, MD | |
911 Northland Dr, Princeton, MN 55371-2172 | |
(763) 389-1313 | |
Not Available |
Full Name | Alex M Basara |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 911 Northland Dr, Princeton, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326677253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 73963 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Winona Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295789352 PECOS PAC ID: 8527977420 Enrollment ID: O20040106000260 |
Entity Name | Cuyuna Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861414518 PECOS PAC ID: 9537146550 Enrollment ID: O20040707000501 |
Mailing Address | Practice Location Address |
---|---|
Alex M Basara, MD 1147 Nw 64th Ter, Gainesville, FL 32605-4218 Ph: (352) 682-8319 | Alex M Basara, MD 911 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-1313 |
Dr. Roseann Ekstrom, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Brendan M Meyer, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Dr. Zahn Raubenheimer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |