Peter Douglas Van Patten, | |
1101 9th St N, Virginia, MN 55792-2329 | |
(218) 741-0150 | |
Not Available |
Full Name | Peter Douglas Van Patten |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 41 Years |
Location | 1101 9th St N, Virginia, 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 |
---|---|---|---|
1720006885 | NPI | - | NPPES |
150257300 | Medicaid | MN | |
396319500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207T00000X | Neurological Surgery | 38758 (Minnesota) | Secondary |
207W00000X | Ophthalmology | 38758 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Virginia | Virginia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | Northern Pines Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
Mailing Address | Practice Location Address |
---|---|
Peter Douglas Van Patten, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 | Peter Douglas Van Patten, 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 741-0150 |
Salma Habib Jamal, Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Bridget Ann Sundell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 602 N 6th Ave W, Virginia, MN 55792 Phone: 218-741-4111 Fax: 218-741-8966 |