Trevor J Fosso, | |
2180 Troop Dr, Sartell, MN 56377-4563 | |
(320) 258-3915 | |
(320) 258-3917 |
Full Name | Trevor J Fosso |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 8 Years |
Location | 2180 Troop Dr, Sartell, 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 |
---|---|---|---|
1336597079 | NPI | - | NPPES |
1336597079 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MN3499 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pinecone Vision Center, Pa | 6800786906 | 8 |
Provider Name | Pinecone Vision Center, Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790830701 PECOS PAC ID: 6800786906 Enrollment ID: O20040319000822 |
Mailing Address | Practice Location Address |
---|---|
Trevor J Fosso, 2180 Troop Dr, Sartell, MN 56377-4563 Ph: (320) 258-3915 | Trevor J Fosso, 2180 Troop Dr, Sartell, MN 56377-4563 Ph: (320) 258-3915 |
Kelly Noel Freese, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2380 Troop Dr, Suite201, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Dr. Joseph Jerome Allen, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Sydney Athmann, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Hunter Riley Throndsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 | |
Dr. Nicholas Colatrella, O.D. FAAO Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2180 Troop Dr, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 | |
Pinecone Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2180 Troop Drive, Sartell, MN 56377 Phone: 320-258-3915 Fax: 320-258-3917 |