| Cheryl Lynn Cody Deets, MD | |
|
16585 Lake Ridge Dr, Maple Grove, MN 55311-1455 | |
| (763) 710-0353 | |
| Not Available |
| Full Name | Cheryl Lynn Cody Deets |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 16585 Lake Ridge Dr, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780794842 | NPI | - | NPPES |
| H400175037 | Other | MN | MEDICARE |
| BD4497764658 | Medicaid | MN | |
| 32353300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 38905 (Wisconsin) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 58004 (Minnesota) | Primary |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Lynn Cody Deets, MD 16585 Lake Ridge Dr, Maple Grove, MN 55311-1455 Ph: (763) 710-0353 | Cheryl Lynn Cody Deets, MD 16585 Lake Ridge Dr, Maple Grove, MN 55311-1455 Ph: (763) 710-0353 |
Kathryn G Flory, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Christine Suzanne Goudge Walker, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15800 95th Ave N, Park Nicollet - Dept Of Ob/gyn, Maple Grove, MN 55369 Phone: 952-993-3282 | |
Katie Corcoran, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501 | |
Dr. Sarah A Wernimont, M.D., PH.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Dr. Brigette Beth Ritter, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 15800 95th Ave N, Park Nicollet Maple Grove, Maple Grove, MN 55369 Phone: 952-993-3282 Fax: 952-993-1425 | |
Kristin M Lyerly, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9855 Hospital Dr, Maple Grove, MN 55369 Phone: 952-993-3282 | |
Leslee J Jaeger, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 763-581-1100 |