Dr Tore Detlie, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Maplewood, Minnesota. He went to University Of Minnesota Medical School and graduated in 1984 and has 40 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Medical Scanning Consultants Pa, Medical Scanning Consultants Pa and his current practice location is
918 Demont Ave E, Maplewood, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 595-1100.
Dr Tore Detlie is licensed to practice in Minnesota (license number 29546) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841240686.
Physician's Profile
| Full Name | Dr Tore Detlie |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 40 Years |
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| Location | 918 Demont Ave E, Maplewood, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tore Detlie attended and graduated from University Of Minnesota Medical School in 1984
NPI Data:
- NPI Number: 1841240686
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 07/19/2012
Medicare PECOS Information:
- PECOS PAC ID: 9032014766
- Enrollment ID: I20100728000070
Medical Identifiers
Medical identifiers for Dr Tore Detlie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841240686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 29546 (Minnesota) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 15435 (New Hampshire) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Alomere Health | Alexandria, MN | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medical Scanning Consultants Pa | 9032005376 | 75 |
| Medical Scanning Consultants Pa | 9032005376 | 75 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tore Detlie allows following entities to bill medicare on his behalf.
| Entity Name | Medical Scanning Consultants Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659348092
PECOS PAC ID: 9032005376
Enrollment ID: O20040224001139 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tore Detlie is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Tore Detlie, MD
11995 Singletree Ln, Suite 500,
Eden Prairie, MN 55344-5347
Ph: (952) 595-1301 | Dr Tore Detlie, MD
918 Demont Ave E,
Maplewood, MN 55109-1953
Ph: (952) 595-1100 |
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