Sambath Cheath, FNP-C | |
707 Lundorff Dr Ste 1, Sandstone, MN 55072-5099 | |
(320) 245-2250 | |
(320) 245-2555 |
Full Name | Sambath Cheath |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 707 Lundorff Dr Ste 1, Sandstone, 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 |
---|---|---|---|
1245793132 | NPI | - | NPPES |
6513 | Other | MN | CNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 6513 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 6513 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Gateway Family Health Clinic, Ltd. | 6305758657 | 20 |
Entity Name | Gateway Family Health Clinic, Ltd. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
Mailing Address | Practice Location Address |
---|---|
Sambath Cheath, FNP-C 4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 | Sambath Cheath, FNP-C 707 Lundorff Dr Ste 1, Sandstone, MN 55072-5099 Ph: (320) 245-2250 |
Christy Leah Melzark, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Shelly Anne Kuhlmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-373-2323 | |
Andrea Jean Hanson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-372-2323 | |
Benjamin Vincent Deitzen, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2211 | |
Heidi Jolene Voss, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2300 County Road 29, Sandstone, MN 55072 Phone: 320-245-6230 | |
Dr. Naomi Koenig, APRN,FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Main Street, Sandstone, MN 55072 Phone: 320-372-2323 |