Julia Gabriela Vasquez Lopez, MD | |
1027 Washington Ave, Detroit Lakes, MN 56501 | |
(218) 847-5611 | |
(218) 844-2444 |
Full Name | Julia Gabriela Vasquez Lopez |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 15 Years |
Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952740623 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 63308 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Essentia Health | Fargo, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Health Center | 2062326820 | 159 |
White Earth Indian Health Center | 1658367925 | 29 |
St Marys Regional Health Center | 2062326820 | 159 |
Entity Name | St Marys Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Entity Name | First Care Medical Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
Entity Name | Innovis Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831 |
Mailing Address | Practice Location Address |
---|---|
Julia Gabriela Vasquez Lopez, MD 400 East Third Street Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 786-3146 | Julia Gabriela Vasquez Lopez, MD 1027 Washington Ave, Detroit Lakes, MN 56501 Ph: (218) 847-5611 |
Guillermo Alfredo Marroquin Galvez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Michael J. Norgard, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Dr. Bruce P Conmy, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
James M Christensen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Jedidiah James Perkerewicz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Jaimie J. Deraney, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 |