Roberta Van Amber Prigge, | |
9555 Upland Ln N, Maple Grove, MN 55369-4485 | |
(952) 831-8742 | |
Not Available |
Full Name | Roberta Van Amber Prigge |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 29 Years |
Location | 9555 Upland Ln N, Maple Grove, 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 |
---|---|---|---|
1639102825 | NPI | - | NPPES |
795820000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | 39190 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Tria Orthopaedic Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
Mailing Address | Practice Location Address |
---|---|
Roberta Van Amber Prigge, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Roberta Van Amber Prigge, 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 831-8742 |
Dr. Pamela D Doorenbos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369 Phone: 763-494-7500 Fax: 763-494-7501 | |
Keith Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102, Maple Grove, MN 55369 Phone: 763-581-5900 Fax: 763-581-5901 | |
Dr. Mark S Hench, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 | |
Mirtha Nesheim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 763-420-5822 Fax: 763-420-6387 | |
Ronald B Boeding, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192 | |
Moushumi Meher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Pamela Kolacz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6320 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 763-268-0400 Fax: 763-268-0405 |