Dr Scott Ryan Maanum, MD | |
20600 Firewood Trl, Park Rapids, MN 56470-6242 | |
(218) 292-9545 | |
(218) 255-8786 |
Full Name | Dr Scott Ryan Maanum |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 20600 Firewood Trl, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992901086 | NPI | - | NPPES |
1992901086 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38086 (Iowa) | Secondary |
207Q00000X | Family Medicine | 52825 (Minnesota) | Primary |
Entity Name | St. Joseph's Area Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521 |
Entity Name | Glacial Ridge Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
Entity Name | St. Joseph's Area Health Services |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20061104000649 |
Mailing Address | Practice Location Address |
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Dr Scott Ryan Maanum, MD 20600 Firewood Trl, Park Rapids, MN 56470-6242 Ph: (218) 292-9545 | Dr Scott Ryan Maanum, MD 20600 Firewood Trl, Park Rapids, MN 56470-6242 Ph: (218) 292-9545 |
Michele Thieman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Shane D Nygard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 | |
Todd M Officer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Anthony Hacker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3423 | |
Bradley A Refsland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Dr. Kavya Koppula, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Dr. Maurice William Spangler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470 Phone: 218-732-3311 |