Dr Lydia M Wade, MD | |
1900 Centra Care Circle, Centra Care Clinic - Women's & Childrens, St Cloud, MN 56303-5000 | |
(320) 654-3610 | |
Not Available |
Full Name | Dr Lydia M Wade |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 19 Years |
Location | 1900 Centra Care Circle, St Cloud, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992926893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 52114 (Minnesota) | Primary |
207V00000X | Obstetrics & Gynecology | 4301086305 (Michigan) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Mailing Address | Practice Location Address |
---|---|
Dr Lydia M Wade, MD 1900 Centra Care Circle, Centra Care Clinic - Women's & Childrens, St Cloud, MN 56303-5000 Ph: (320) 654-3610 | Dr Lydia M Wade, MD 1900 Centra Care Circle, Centra Care Clinic - Women's & Childrens, St Cloud, MN 56303-5000 Ph: (320) 654-3610 |
Vickie L Nash, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Circle, St Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Robin C Marushin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 | |
Jennifer N Martinson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Circle, St Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Thomas Frederick Campbell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303 Phone: 320-656-7024 Fax: 320-656-7026 | |
Dr. Jena J Swanson, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 1406 Sixth Ave N, St Cloud, MN 56303 Phone: 320-656-7024 Fax: 320-656-7026 | |
Dr. Charles J Snow, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1406 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 |