Douglas P Derleth, MD | |
200 1st St Sw, Rochester, MN 55905-0001 | |
(507) 284-2511 | |
Not Available |
Full Name | Douglas P Derleth |
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Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 200 1st St Sw, Rochester, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881671063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0200X | Internal Medicine - Critical Care Medicine | 31447 (Minnesota) | Secondary |
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 31447 (Minnesota) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Mailing Address | Practice Location Address |
---|---|
Douglas P Derleth, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Douglas P Derleth, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 |
Alejandra Catalina Vasquez Avila, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Patricia S Simmons, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Mrs. Asmaa Ferdjallah, MD, MPH Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Dr. Mats Steffi Jennifer Masilamani, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Valeria Cristiani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Flora Robinson Howie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 | |
Meredith Mary Renda, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 |