Todd M Officer, MD | |
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
(218) 732-2800 | |
(218) 732-2874 |
Full Name | Todd M Officer |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 705 Pleasant Ave S, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114972221 | NPI | - | NPPES |
5612802 | Medicaid | SD | |
5612803 | Medicaid | SD | |
4992652 | Other | SD | WELLMARK |
P00463249 | Other | SD | RR MEDICARE |
492921 | Other | SD | WELLMARK |
5612800 | Medicaid | SD | |
7038 | Other | SD | DAKOTACARE |
4994117 | Other | SD | WELLMARK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | RL-0437 (South Dakota) | Secondary |
207Q00000X | Family Medicine | 52316 (Minnesota) | Primary |
207Q00000X | Family Medicine | TP-104372 (Minnesota) | Secondary |
Entity Name | St Marys Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
Entity Name | St. Joseph's Area Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521 |
Mailing Address | Practice Location Address |
---|---|
Todd M Officer, MD Po Box 1450 # Nw7813, Minneapolis, MN 55485-0001 Ph: (218) 732-2800 | Todd M Officer, MD 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Michele Thieman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Shane D Nygard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 | |
Anthony Hacker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3423 | |
Bradley A Refsland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Dr. Kavya Koppula, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Dr. Maurice William Spangler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470 Phone: 218-732-3311 |