Mitchell B Goldstein, MD | |
1245 Washington Ave, Detroit Lakes, MN 56501-3905 | |
(218) 846-2000 | |
(218) 846-2114 |
Full Name | Mitchell B Goldstein |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 35 Years |
Location | 1245 Washington Ave, Detroit Lakes, 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 |
---|---|---|---|
1497773030 | NPI | - | NPPES |
10974 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35264 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Entity Name | Sanford Clinic North |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Entity Name | Perham Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1922303213 PECOS PAC ID: 8426967803 Enrollment ID: O20090529000206 |
Entity Name | Sanford Medical Center Fargo |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Mitchell B Goldstein, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mitchell B Goldstein, MD 1245 Washington Ave, Detroit Lakes, MN 56501-3905 Ph: (218) 846-2000 |
George A Portilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Randall J. Bolar, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Shang-yee S Yeh, MD Surgery Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2347 |