| Dale S Reynolds, MD PHD | |
|
2330 Troop Dr, Suite 104, Sartell, MN 56377-4530 | |
| (320) 230-8555 | |
| (320) 230-8556 |
| Full Name | Dale S Reynolds |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 33 Years |
| Location | 2330 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 |
|---|---|---|---|
| 1578531364 | NPI | - | NPPES |
| 569S2CE | Other | MN | BLUE CROSEE BLUE SHIELD |
| 80793200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 45473 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Minnesota Retina Consultants, Pllc | 8426199878 | 2 |
| Entity Name | Central Minnesota Retina Consultants, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902134877 PECOS PAC ID: 8426199878 Enrollment ID: O20100106000793 |
| Mailing Address | Practice Location Address |
|---|---|
| Dale S Reynolds, MD PHD 2330 Troop Dr, Suite 104, Sartell, MN 56377-4530 Ph: (320) 230-8555 | Dale S Reynolds, MD PHD 2330 Troop Dr, Suite 104, Sartell, MN 56377-4530 Ph: (320) 230-8555 |
Shannon Radeke Cabrera, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2000 23rd Street South, Centracare Clinic Sauk Crossing, Sartell, MN 56377 Phone: 320-229-5120 Fax: 320-200-3235 | |
Dr. Vamsi Krishna Gullapalli, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2330 Troop Dr, Suite 104, Sartell, MN 56377 Phone: 320-230-8555 Fax: 320-230-8556 |