Dr Maria Teresa Ocasio Carle, MD | |
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
(651) 982-7600 | |
Not Available |
Full Name | Dr Maria Teresa Ocasio Carle |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 5200 Fairview Blvd, Wyoming, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972538015 | NPI | - | NPPES |
182106C736 | Other | MN | UCARE MINNESOTA |
957571500 | Medicaid | MN | |
07-01521 | Other | MEDICA | |
NA9231046011 | Other | PREFERRED ONE | |
2392840 | Other | AMERICA'S PPO | |
83G810C | Other | MN | BCBS OF MINNESOTA |
HP57365 | Other | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 48310 (Minnesota) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Maria Teresa Ocasio Carle, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 | Dr Maria Teresa Ocasio Carle, MD 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7600 |
Randall G Ewald, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7659 | |
James M Cain, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 | |
Stuart E Sybesma, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7659 |