Walter Lo Sia Su, MD | |
1200 6th Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 | |
(320) 251-2700 | |
(320) 240-2118 |
Full Name | Walter Lo Sia Su |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 1200 6th Ave N, St Cloud, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477542371 | NPI | - | NPPES |
526021 | Other | ARAZ GROUP AMERICAS PPO | |
114449 | Other | UCARE | |
242513100 | Medicaid | MN | |
HP21690 | Other | HEALTH PARTNERS | |
0407506 | Other | MEDICA HEALTH PLANS | |
242513100 | Other | MEDICAL ASSISTANCE | |
1013234 | Other | PREFERRED ONE | |
379K3S1 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 37684 (Minnesota) | Secondary |
208M00000X | Hospitalist | 37684 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Carris Health Llc | Willmar, MN | Hospital |
St Gabriels Hospital | Little falls, MN | Hospital |
Centracare Health System - Melrose Hospital | Melrose, MN | Hospital |
Tri County Hospital | Wadena, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Centracare Clinic | 2466363395 | 632 |
Centracare Health System - Long Prairie | 3870524598 | 30 |
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 | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
Entity Name | Centracare Health System - Long Prairie |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20061104000579 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
Entity Name | Centracare Health System-nr Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
Entity Name | Carris Health - Redwood Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
Mailing Address | Practice Location Address |
---|---|
Walter Lo Sia Su, MD 1200 6th Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 Ph: (320) 251-2700 | Walter Lo Sia Su, MD 1200 6th Ave N, Centra Care Clinic, St Cloud, MN 56303-2735 Ph: (320) 251-2700 |
Dr. Christopher William Wieland, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 314-362-9878 | |
Dr. Hilary Ikenna Ufearo, MBBS Hospitalist Medicare: May Accept Medicare Assignments Practice Location: 1900 Centracare Circle, #1600, Centracare Clinic Health Plaza Specialties/oncology, St Cloud, MN 56303 Phone: 320-229-4907 | |
Ravikanth Nathani, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-251-2700 | |
Dr. Jeremy Michael Skramsted, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 | |
Dr. Nichole Leigh Cummings, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-251-2700 | |
Dr. Marie Denise Alfonso Guanzon, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 701-530-7000 Fax: 701-530-8842 | |
Oluyemi Adebowale Ajayi, MBBS Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 937-352-3580 |