Matei Teodorescu, MD | |
425 7th St Nw, Cass Lake, MN 56633-3360 | |
(218) 335-3200 | |
Not Available |
Full Name | Matei Teodorescu |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 425 7th St Nw, Cass Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437133543 | NPI | - | NPPES |
544668 | Medicaid | IA | |
A044 | Other | MN | CHAMPUS |
71613800 | Medicaid | MN | |
MH9041028422 | Other | MN | PPO |
141035 | Medicaid | MN | |
7309 | Other | MN | AVERA |
12-02485 | Other | MN | MEDICA |
46G55TE | Other | MN | BCBS |
46G55TE | Other | MN | BCBS/MEDICARE SUPPLEMENT |
1415252 | Other | MN | ARAZ |
46G55TE | Medicaid | MN | |
HP33897 | Other | MN | HEALTH PARTNERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44112 (Minnesota) | Primary |
Entity Name | Avera Marshall |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
Entity Name | Range Regional Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
Mailing Address | Practice Location Address |
---|---|
Matei Teodorescu, MD 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 | Matei Teodorescu, MD 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 |
Dr. Amy J Hatcher, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 425th 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Alice Kathleen Lingen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3284 |