Soumathy C Prosper, MD | |
530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River, Elk River, MN 55330-8863 | |
(763) 587-4800 | |
(763) 587-4885 |
Full Name | Soumathy C Prosper |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 32 Years |
Location | 530 3rd St Nw - Mail Stop 39400a, Elk River, 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 |
---|---|---|---|
1629271671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 103102 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Centracare Clinic | 2466363395 | 632 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Centracare Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | North Memorial Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
Entity Name | Stillwater Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558350488 PECOS PAC ID: 9436104510 Enrollment ID: O20050322000615 |
Entity Name | Centracare Clinic Southwest Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
Mailing Address | Practice Location Address |
---|---|
Soumathy C Prosper, MD 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375 | Soumathy C Prosper, MD 530 3rd St Nw - Mail Stop 39400a, Riverway Clinic - Elk River, Elk River, MN 55330-8863 Ph: (763) 587-4800 |
Charles William Lais, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330 Phone: 763-712-6000 Fax: 763-712-6591 | |
Arthur James Shold, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 530 3 St Nw, Mail Stop 39400a, Elk River, MN 55330 Phone: 763-712-6000 Fax: 763-712-6591 | |
Dr. Georgina Marie Greil, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 290 Main St Nw, Suite 100, Elk River, MN 55330 Phone: 763-241-0373 | |
Chi-chi Nwasinachukwu Phina Ayika, MBBS Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Mail Stop 39400a, Elk River, MN 55330 Phone: 763-712-6000 Fax: 763-712-6591 | |
Michelle Monson, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 290 Main St Nw Ste 100, Elk River, MN 55330 Phone: 763-241-0373 |