Dr Tamara Piroska Petrac-halatsis, MD | |
5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 | |
(651) 982-7670 | |
(651) 982-7675 |
Full Name | Dr Tamara Piroska Petrac-halatsis |
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Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 5200 Fairview Boulevard, 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 |
---|---|---|---|
1902851876 | NPI | - | NPPES |
274695600 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | ME94155 (Florida) | Secondary |
207V00000X | Obstetrics & Gynecology | 53965 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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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 |
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Dr Tamara Piroska Petrac-halatsis, MD 5200 Fairview Boulevard, Wyoming, MN 55092 Ph: (651) 982-7670 | Dr Tamara Piroska Petrac-halatsis, MD 5200 Fairview Boulevard, Ob/gyn Department, Wyoming, MN 55092 Ph: (651) 982-7670 |
Chen Chen, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Kelsey Elizabeth Gelhaus, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Maureen Ayers Looby, M.D., M.P.H. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Ob/gyn Clinic, Wyoming, MN 55092 Phone: 651-982-7670 Fax: 651-982-7675 | |
Dr. Kaitlin Barabash, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Matthew William Anderson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7670 | |
Dr. Allison Ann Honke-karun, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 Fax: 715-483-0507 | |
Sondra S Mericle, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7670 |