Eric Demaris, DO | |
1430 Highway 96 E, White Bear Lake, MN 55110-3653 | |
(651) 653-2100 | |
(651) 653-2125 |
Full Name | Eric Demaris |
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Gender | Male |
Speciality | Family Medicine |
Location | 1430 Highway 96 E, White Bear Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619597770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 71126 (Minnesota) | Primary |
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
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Eric Demaris, DO 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Eric Demaris, DO 1430 Highway 96 E, White Bear Lake, MN 55110-3653 Ph: (651) 653-2100 |
Carol K Stark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Dr. Anna Margaret Dang, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Rachel Bachman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Darien Jourdaine, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 | |
Joseph Stephen Micallef, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Hwy 96 E - Mail Stop 32300a, Healthpartners White Bear Lake Clinic, White Bear Lake, MN 55110 Phone: 651-426-1980 Fax: 651-653-2111 | |
Jeffrey D Elbers, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4786 Banning Ave, White Bear Lake, MN 55110 Phone: 651-426-6402 Fax: 651-429-3402 | |
Hannah Marie Jenson, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1430 Highway 96 E, White Bear Lake, MN 55110 Phone: 651-653-2100 Fax: 651-653-2125 |