Mark H Petry, MD | |
204 Lundorff Dr, Sandstone, MN 55072-5051 | |
(320) 245-2250 | |
(320) 245-2555 |
Full Name | Mark H Petry |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 19 Years |
Location | 204 Lundorff Dr, Sandstone, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487668034 | NPI | - | NPPES |
01-25350 | Other | MN | MEDICA |
153H5PE | Other | MN | BCBSMN |
P00440553 | Other | RR MEDICARE PTAN | |
602643000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 48729 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adara Home Health Inc | Buffalo, MN | Home health agency |
Mercy Home Health Agency | Moose lake, MN | Home health agency |
St Croix Hospice | Oakdale, MN | Hospice |
Essentia Health Sandstone | Sandstone, MN | Hospital |
Essentia Health Moose Lake | Moose lake, MN | Hospital |
Firstlight Health System | Mora, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gateway Family Health Clinic, Ltd. | 6305758657 | 20 |
Entity Name | Gateway Family Health Clinic, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
Entity Name | Pine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
Entity Name | Pine Medical Center |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1205043841 PECOS PAC ID: 3870406945 Enrollment ID: O20080430000545 |
Mailing Address | Practice Location Address |
---|---|
Mark H Petry, MD 204 Lundorff Dr, Sandstone, MN 55072-5051 Ph: (320) 245-2250 | Mark H Petry, MD 204 Lundorff Dr, Sandstone, MN 55072-5051 Ph: (320) 245-2250 |
Ryan Mark Harden, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Dr. Daniel P. Benzie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Nick M. Taurinskas, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 |