Dr Tracy L Ricke, MD | |
3360 S Coon Creek Dr, Andover, MN 55304-3220 | |
(612) 298-6144 | |
Not Available |
Full Name | Dr Tracy L Ricke |
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Gender | Female |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 3360 S Coon Creek Dr, Andover, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275681611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 53638 (Minnesota) | Primary |
Entity Name | Faculty Physicians And Surgeons Of Llusm |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
Mailing Address | Practice Location Address |
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Dr Tracy L Ricke, MD 3360 S Coon Creek Dr, Andover, MN 55304-3220 Ph: (612) 298-6144 | Dr Tracy L Ricke, MD 3360 S Coon Creek Dr, Andover, MN 55304-3220 Ph: (612) 298-6144 |
Dr. Lisa Ann Bishop, MBCHB Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15245 Bluebird St Nw, Andover, MN 55304 Phone: 763-587-4600 | |
Allen Praxidio Bergstedt, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 612-442-3996 | |
Dr. Tonya Lynne Bryan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 | |
Trinh To, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 855-324-7843 | |
Dr. Rhodessa Fidela Kabatay Burt, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 | |
Dr. Deborah Anne Demarais, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304 Phone: 763-572-5710 Fax: 763-862-4490 |