Trent Patrick Carlson, MD | |
1409 Ridgeway Rd, Marshall, MN 56258-2153 | |
(612) 385-7105 | |
Not Available |
Full Name | Trent Patrick Carlson |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1409 Ridgeway Rd, Marshall, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588689947 | NPI | - | NPPES |
072390800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 32114 (Minnesota) | Primary |
Entity Name | Avera Marshall |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
Entity Name | Unity Family Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
Entity Name | Unity Family Healthcare |
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Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
Mailing Address | Practice Location Address |
---|---|
Trent Patrick Carlson, MD 1409 Ridgeway Rd, Marshall, MN 56258-2153 Ph: (507) 537-9007 | Trent Patrick Carlson, MD 1409 Ridgeway Rd, Marshall, MN 56258-2153 Ph: (612) 385-7105 |
Lucky Vang, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 | |
Dr. Omer Qureishy, MBBS.MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Bruce Street, Marshall, MN 56258 Phone: 507-537-9300 Fax: 507-537-9356 | |
Dr. Rochelle Dawn Stark, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9007 | |
Ellison F. Kalda, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 South Bruce Street, Affiliated Community Medical Centers, Marshall, MN 56258 Phone: 507-532-9631 Fax: 507-532-1176 | |
Nicole Elizabeth Falls, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 |