Myron Brook Redd, MD | |
3001 Sanford Pkwy, Thief River Falls, MN 56701 | |
(218) 681-4747 | |
Not Available |
Full Name | Myron Brook Redd |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 36 Years |
Location | 3001 Sanford Pkwy, Thief River Falls, 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 |
---|---|---|---|
1962438770 | NPI | - | NPPES |
014982900 | Medicaid | MN | |
375J0RE | Other | MN | MNBS# |
23407 | Other | MN | NDBS# |
43450017 | Other | MO | BCBS |
1862175 | Other | MN | AMERICA'S PPO/ARAZ# |
P00033158 | Other | MN | MEDICARE ID-TYPE UNSPECIFIED, RR MEDICARE |
1701054 | Other | MN | MEDICA # |
DA9021035197 | Other | MN | PREFERRED ONE # |
020001912 | Other | MN | MEDICARE ID-TYPE UNSPECIFIED, MN MEDICARE # |
12531 | Medicaid | MN | |
HP39362 | Other | MN | HEALTHPARTNERS # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 2009038289 (Missouri) | Secondary |
208600000X | Surgery | 46083 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pro Health One Inc | 2466778089 | 19 |
Entity Name | Pro Health One Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053714584 PECOS PAC ID: 2466778089 Enrollment ID: O20171120000890 |
Mailing Address | Practice Location Address |
---|---|
Myron Brook Redd, MD 11608 Hwy 32 Ne, Thief River Falls, MN 56701-2700 Ph: (218) 280-7062 | Myron Brook Redd, MD 3001 Sanford Pkwy, Thief River Falls, MN 56701 Ph: (218) 681-4747 |
Dr. Mario Potvin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Arshad Bashir Khan, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-683-2725 Fax: 218-683-2595 |