Louis J Heck, MD | |
1200 Sixth Avenue North, St Cloud, MN 56303-1900 | |
(320) 252-5131 | |
(320) 240-2118 |
Full Name | Louis J Heck |
---|---|
Gender | Male |
Speciality | Pediatrics - Neonatal-perinatal Medicine |
Location | 1200 Sixth Avenue North, St Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811047517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 46752 (Minnesota) | Primary |
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Mailing Address | Practice Location Address |
---|---|
Louis J Heck, MD 1200 Sixth Avenue North, St Cloud, MN 56303-1900 Ph: (320) 252-5131 | Louis J Heck, MD 1200 Sixth Avenue North, St Cloud, MN 56303-1900 Ph: (320) 252-5131 |
Jennifer J Rogan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 | |
Oluade A. Ajayi, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 | |
Tracey B Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-240-2832 | |
Logan Andrew Newman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
Edward B Martin - Chafee, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-240-2118 | |
Dr. Marla J Moore, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5731 Fax: 719-447-8987 | |
Kelly B Fandel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303 Phone: 320-654-3630 |