Mark R Larose, MD | |
424 W State Highway 5, Waconia, MN 55387-1723 | |
(952) 442-4461 | |
(952) 442-4419 |
Full Name | Mark R Larose |
---|---|
Gender | Male |
Speciality | Obstetrics/gynecology |
Experience | 36 Years |
Location | 424 W State Highway 5, Waconia, 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 |
---|---|---|---|
1972682680 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 41390 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Clinic, Ltd. | 6002801453 | 55 |
Entity Name | Lakeview Clinic, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669599981 PECOS PAC ID: 6002801453 Enrollment ID: O20040416000213 |
Mailing Address | Practice Location Address |
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Mark R Larose, MD 424 W State Highway 5, Waconia, MN 55387-1723 Ph: (952) 442-4461 | Mark R Larose, MD 424 W State Highway 5, Waconia, MN 55387-1723 Ph: (952) 442-4461 |
Amy J Meath, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1598 | |
Andraya J Huldeen-tibbetts, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Kim A Maletta Shibley, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 560 S Maple St Ste 130, Waconia, MN 55387 Phone: 952-442-2191 | |
Dr. Erin Luann Chinnock, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 | |
Nancy K Cooley, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Dennis R Mohling, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5904 | |
Sarah A Freitas, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 130, Waconia, MN 55387 Phone: 952-442-2137 Fax: 952-442-5960 |