Samuel T Camp, MD | |
101 Willmar Ave Sw, Willmar, MN 56201-3591 | |
(320) 231-5079 | |
(320) 231-5067 |
Full Name | Samuel T Camp |
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Gender | Male |
Speciality | Family Medicine |
Location | 101 Willmar Ave Sw, Willmar, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912187782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 53546 (Minnesota) | Primary |
Entity Name | Sacred Heart Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861611683 PECOS PAC ID: 6103729066 Enrollment ID: O20040128000978 |
Mailing Address | Practice Location Address |
---|---|
Samuel T Camp, MD 101 Willmar Ave Sw, Willmar, MN 56201-3591 Ph: (320) 231-5000 | Samuel T Camp, MD 101 Willmar Ave Sw, Willmar, MN 56201-3591 Ph: (320) 231-5079 |
Lee M Haggenjos, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw Ste 1, Willmar, MN 56201 Phone: 320-235-7232 | |
Dr. Raymond J Mellema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Dr. Robert M Kaiser, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 | |
Maria Jones Loerzel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw, Suite 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8602 | |
Shelly M Staska, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5026 | |
Rachel L Tollefsrud, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 502 2nd St Sw, Suite 1, Willmar, MN 56201 Phone: 320-235-7232 Fax: 320-231-8609 | |
Dr. William E. Hicks, M. D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Willmar Avenue Sw, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067 |