| Dennis Charles Spano, MD | |
|
500 W Grant St, Lake City, MN 55041-1143 | |
| (651) 345-3321 | |
| (651) 345-1151 |
| Full Name | Dennis Charles Spano |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 500 W Grant St, Lake City, 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 |
|---|---|---|---|
| 1033195656 | NPI | - | NPPES |
| 49A86SP | Other | BCBS | |
| 118169 | Other | UCARE | |
| MH9101008904 | Other | PREFERRED ONE | |
| 080125255 | Other | RAILROAD MEDICARE | |
| 925515000 | Medicaid | MN | |
| 0113159 | Other | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 36426 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Medical Center | Wabasha, MN | Hospital |
| Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
| St Elizabeth Medical Center | Wabasha, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 82 |
| Gundersen Lutheran Medical Center Inc | 2163331414 | 793 |
| Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 82 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Entity Name | Minnesota Valley Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20061104000638 |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Charles Spano, MD 1200 Grant Blvd W, Wabasha, MN 55981-1042 Ph: (651) 565-5600 | Dennis Charles Spano, MD 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 |
Trent D Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Jessica M Storlie, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Robert A Taylor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-364-5600 | |
Douglas David Pflaum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 W Doughty St, Lake City, MN 55041 Phone: 651-345-2350 Fax: 651-345-2238 | |
Katie Hinderaker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Mootaz Subhi Said Younis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 |