| Dr Clifford M Matushin, DO | |
|
919 Northland Dr, Princeton, MN 55371-2172 | |
| (763) 389-3344 | |
| Not Available |
| Full Name | Dr Clifford M Matushin |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 37 Years |
| Location | 919 Northland Dr, Princeton, 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 |
|---|---|---|---|
| 1639143688 | NPI | - | NPPES |
| 6002770 | Medicaid | SD | |
| 107306 | Other | MN | MINNESOTA LICENSE |
| 3575 | Other | SD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3575 (South Dakota) | Secondary |
| 207R00000X | Internal Medicine | 107306 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Guardian Angels Elim Home Care | Elk river, MN | Home health agency |
| Centracare Health Home Care | Saint cloud, MN | Home health agency |
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| Fairview Northland Regional Hospital | Princeton, MN | Hospital |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 736 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clifford M Matushin, DO 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 | Dr Clifford M Matushin, DO 919 Northland Dr, Princeton, MN 55371-2172 Ph: (763) 389-3344 |
Daniel D Fordahl, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Paul Larson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Nancy Meryhew, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 Northland Dr, Princeton, MN 55371 Phone: 763-389-3344 | |
Sara Suzanne Kemp, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 Fax: 763-389-6306 | |
Hung Canh Le, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 911 Northland Dr, Princeton, MN 55371 Phone: 763-389-1313 |