| Dominic F Frecentese, MD | |
|
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 | |
| (651) 292-2000 | |
| (651) 292-2204 |
| Full Name | Dominic F Frecentese |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 43 Years |
| Location | 2355 Highway 36 W Ste 100, Roseville, 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 |
|---|---|---|---|
| 1144209008 | NPI | - | NPPES |
| 001662400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 42317 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Healtheast Woodwinds Hospital | Woodbury, MN | Hospital |
| Fairview Southdale Hospital | Edina, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| St Croix Regional Medical Ctr | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Joseph's Hospital And Health Center | 0547177560 | 111 |
| Allina Health System | 4587573613 | 3584 |
| Altru Health System | 1355251604 | 554 |
| Marshfield Clinic Inc | 2264345206 | 175 |
| Midwest Radiology Outpatient Imaging Llc | 3870495591 | 123 |
| Midwest Radiology Pa | 4486568482 | 202 |
| Allina Health System | 4587573613 | 3584 |
| Pembina County Memorial Hospital Association | 4789643719 | 76 |
| Entity Name | St. Joseph's Hospital And Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
| Entity Name | P R Health Corporation |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1679669741 PECOS PAC ID: 0840102760 Enrollment ID: O20060502000832 |
| Entity Name | St. Joseph's Hospital And Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1992947956 PECOS PAC ID: 0547177560 Enrollment ID: O20090429000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic F Frecentese, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | Dominic F Frecentese, MD 2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Dr. Amanjit Singh Baadh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-0000 | |
Dr. Jonathan P Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Dr. Grant Michael Riesberg, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Jorge A Leon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
John P Knoedler Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 | |
Robert John Hosker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W, Ste 100, Roseville, MN 55113 Phone: 651-292-2000 Fax: 651-681-1140 | |
Jennifer Ashley Knight, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |