Matthew Molenaar, | |
1200 6th Ave N, Saint Cloud, MN 56303-2736 | |
(320) 251-2700 | |
Not Available |
Full Name | Matthew Molenaar |
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Gender | Male |
Speciality | Pediatrics |
Location | 1200 6th Ave N, Saint 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 |
---|---|---|---|
1053871194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 71786 (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 |
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Matthew Molenaar, 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: () - | Matthew Molenaar, 1200 6th Ave N, Saint Cloud, MN 56303-2736 Ph: (320) 251-2700 |
Dr. Leslie Jean Mortland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303 Phone: 320-654-3610 Fax: 320-654-3647 | |
Richard Hart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Nathan Charles Messbarger, Pediatrics Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Rosaleah Victorino Bernardo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Denise L Lenarz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Elaina Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |