Theresa Mangahas Fitzgerald, MD | |
2925 Chicago Ave, Minneapolis, MN 55407-1321 | |
(651) 241-9700 | |
Not Available |
Full Name | Theresa Mangahas Fitzgerald |
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Gender | Female |
Speciality | Family Medicine |
Location | 2925 Chicago Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508096256 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD60238357 (Washington) | Secondary |
207Q00000X | Family Medicine | 70102 (Minnesota) | Primary |
Entity Name | King County Public Hospital District No 2 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801986070 PECOS PAC ID: 7618880097 Enrollment ID: O20031111000557 |
Mailing Address | Practice Location Address |
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Theresa Mangahas Fitzgerald, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 259-0966 | Theresa Mangahas Fitzgerald, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (651) 241-9700 |
David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406 | |
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000 | |
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000 | |
Rachel Ann Feliciano, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2001 Blaisdell Ave, Minneapolis, MN 55404 Phone: 952-993-8000 | |
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612 | |
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805 | |
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770 |