Dr Clifford M Matushin, DO | |
919 Northland Dr, Princeton, MN 55371-2172 | |
(763) 389-3344 | |
Not Available |
Full Name | Dr Clifford M Matushin |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 36 Years |
Location | 919 Northland Dr, Princeton, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639143688 | NPI | - | NPPES |
6002770 | Medicaid | SD | |
107306 | Other | MN | MINNESOTA LICENSE |
3575 | Other | SD | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3575 (South Dakota) | Secondary |
207R00000X | Internal Medicine | 107306 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Guardian Angels Elim Home Care | Elk river, MN | Home health agency |
Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
Fairview Northland Regional Hospital | Princeton, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fairview Clinics | 7113830142 | 658 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Dr Clifford M Matushin, DO 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 | Dr Clifford M Matushin, DO 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
Daniel D Fordahl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Paul Larson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Dr. Igor Sister, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 | |
Nancy Meryhew, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Sara Suzanne Kemp, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 Fax: 763-389-6306 | |
Hung Canh Le, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |