| Clarice Hanks Konshok, MD | |
|
1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 | |
| (320) 240-3157 | |
| (320) 240-3164 |
| Full Name | Clarice Hanks Konshok |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 1555 Northway Dr Ste 200, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437106986 | NPI | - | NPPES |
| 064H2KO | Other | MN | MNBS # |
| 064H3KO | Other | MN | MNBS # |
| 2387955 | Other | MN | AMERICA'S PPO/ARAZ # |
| 18686 | Medicaid | MN | |
| DA9041045762 | Other | MN | PREFERRED ONE # |
| 064H1KO | Other | MN | MNBS # |
| 0123278 | Other | MN | MEDICA # |
| 907913100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39535 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| St Cloud Hospital | 4880594779 | 203 |
| 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 | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Clarice Hanks Konshok, MD 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 Ph: (320) 240-3157 | Clarice Hanks Konshok, MD 1555 Northway Dr Ste 200, Saint Cloud, MN 56303-4913 Ph: (320) 240-3157 |
Steven Danielson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Fariha Furqan Qureshi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 | |
Dr. Crispin Rabara Domingo Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-355-6359 | |
Dr. Bartley Brandon Mueller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-202-8949 Fax: 320-202-0756 | |
Steven Weno, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Jennifer Ann Tarpenning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 | |
Richard L Rysavy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |