Dr Mara Suzanne Edison, DO | |
4855 W Arrowhead Rd, Hermantown, MN 55811-3936 | |
(218) 786-3540 | |
Not Available |
Full Name | Dr Mara Suzanne Edison |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 7 Years |
Location | 4855 W Arrowhead Rd, Hermantown, 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 |
---|---|---|---|
1154718484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 64087 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Duluth | Duluth, MN | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Mailing Address | Practice Location Address |
---|---|
Dr Mara Suzanne Edison, DO 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Mara Suzanne Edison, DO 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 Ph: (218) 786-3540 |
Elizabeth Marie Raduege, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 Fax: 218-722-8160 | |
Dr. Elizabeth A Liljeblad, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4190 Loberg Ave, Hermantown, MN 55811 Phone: 218-249-4600 Fax: 218-249-4666 | |
Renee Ann Schlabach, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Bruce Ernest Knutsen, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 Fax: 218-722-8160 | |
Michael Charles Mollen, Family Medicine Medicare: Medicare Enrolled Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 | |
Dr. Owen Thomas Tierney, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4855 W Arrowhead Rd, Hermantown, MN 55811 Phone: 218-786-3540 |