Mrs Amy Corinne Dearking, MD | |
1528 Northway Dr, Saint Cloud, MN 56303-1255 | |
(320) 252-0233 | |
(320) 252-1421 |
Full Name | Mrs Amy Corinne Dearking |
---|---|
Gender | Female |
Speciality | Otolaryngology |
Experience | 16 Years |
Location | 1528 Northway Dr, Saint Cloud, 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 |
---|---|---|---|
1588828206 | NPI | - | NPPES |
ENROLLED | Medicaid | IA | |
ENROLLED | Medicaid | MN | |
P01173520 | Other | MN | RAILRAOD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 51891 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Cloud Ear Nose And Throat Clinic Pa | 5496774242 | 12 |
Entity Name | St Cloud Ear Nose & Throat Clinic Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508882754 PECOS PAC ID: 5496774242 Enrollment ID: O20051122000206 |
Entity Name | St Cloud Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amy Corinne Dearking, MD 1528 Northway Dr, Saint Cloud, MN 56303-1255 Ph: (320) 252-0233 | Mrs Amy Corinne Dearking, MD 1528 Northway Dr, Saint Cloud, MN 56303-1255 Ph: (320) 252-0233 |
Stephen Cragle, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 | |
Gerald Jurgens, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1166 | |
Theodore Truitt, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 | |
Todd Magnuson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 | |
Ronald Hanson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 |