| Dr Girish Luthra, MBBS | |
|
1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| (603) 354-5469 |
| Full Name | Dr Girish Luthra |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 33 Years |
| Location | 1200 Sixth Ave N, St Cloud, 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 |
|---|---|---|---|
| 1659480564 | NPI | - | NPPES |
| 1009114 | Medicaid | VT | |
| 30103181 | Medicaid | NH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 11668 (New Hampshire) | Secondary |
| 208600000X | Surgery | 106406 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Girish Luthra, MBBS 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 | Dr Girish Luthra, MBBS 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303-2735 Ph: (320) 252-5131 |
James M Smith, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Paul W Schultz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3701 12th Street N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
John M Houle, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Thomas L Satterberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3701 12th Street N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 | |
Kurt Martinson, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave No, Centra Care Clinic, St Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Dr. Daniel Brent Leslie, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Avenue North, Centracare Clinic River Campus, St Cloud, MN 56303 Phone: 320-252-3342 Fax: 320-252-3501 | |
Evelyn J Erickson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3701 12th St N, Suite 100, St Cloud, MN 56303 Phone: 320-253-7257 Fax: 320-251-2938 |