Dr Heather Anne Decker, MD | |
2251 Connecticut Ave S, Sartell, MN 56377 | |
(320) 253-5220 | |
(320) 203-2200 |
Full Name | Dr Heather Anne Decker |
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Gender | Female |
Speciality | Pediatrics |
Location | 2251 Connecticut Ave S, Sartell, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336114529 | NPI | - | NPPES |
036111062 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036111062 (Illinois) | Secondary |
208000000X | Pediatrics | 63914 (Minnesota) | Primary |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Dr Heather Anne Decker, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (320) 253-5220 | Dr Heather Anne Decker, MD 2251 Connecticut Ave S, Sartell, MN 56377 Ph: (320) 253-5220 |
Dr. Erika M Pritchett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2251 Connecticut Ave S, Sartell, MN 56377 Phone: 320-253-5220 Fax: 320-203-2200 | |
Emily Korman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 2nd St S, Sartell, MN 56377 Phone: 320-281-3339 Fax: 320-200-7505 | |
David Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 111 2nd St S, Sartell, MN 56377 Phone: 320-281-3339 Fax: 320-251-6942 |