Derrick D Fenchel, MD | |
1575 Beam Ave, Maplewood, MN 55109-1126 | |
(651) 232-7348 | |
Not Available |
Full Name | Derrick D Fenchel |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1575 Beam Ave, Maplewood, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497040638 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
ENROLLED | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 55276 (Minnesota) | Primary |
Entity Name | Healtheast Woodwinds Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
Entity Name | Healtheast St Joseph's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134186273 PECOS PAC ID: 2365348869 Enrollment ID: O20031208000245 |
Entity Name | Healtheast St John's Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
Entity Name | Emergency Care Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Mailing Address | Practice Location Address |
---|---|
Derrick D Fenchel, MD 2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279 Ph: (612) 439-1868 | Derrick D Fenchel, MD 1575 Beam Ave, Maplewood, MN 55109-1126 Ph: (651) 232-7348 |
Dr. Jaremy Dale Joy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 651-232-6665 | |
Deborah L Abney Lidahl, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 | |
Zabrina Naomi Evens, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Caroline Bailey, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 785-640-9498 | |
Christine Ohl, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 612-863-6590 | |
Dr. Michael H Bambenek, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 612-439-1860 | |
Paul M Mccormick, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7348 Fax: 651-232-6665 |