Michele Thieman, MD | |
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2874 |
Full Name | Michele Thieman |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 20 Years |
Location | 705 Pleasant Ave S, Park Rapids, 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 |
---|---|---|---|
1043309065 | NPI | - | NPPES |
040974000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 45713 (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Essentia Health | Fargo, ND | Hospital |
St Josephs Area Health Services | Park rapids, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Marys Regional Health Center | 2062326820 | 159 |
Entity Name | St Marys Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Mailing Address | Practice Location Address |
---|---|
Michele Thieman, MD Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-3300 | Michele Thieman, MD 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Shane D Nygard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 | |
Todd M Officer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Anthony Hacker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3423 | |
Bradley A Refsland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Dr. Kavya Koppula, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Dr. Maurice William Spangler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470 Phone: 218-732-3311 |