| Dr Gregory Hatfield, MD | |
|
12000 Elm Creek Blvd N Ste 301, Maple Grove, MN 55369-7090 | |
| (612) 234-5613 | |
| Not Available |
| Full Name | Dr Gregory Hatfield |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 12000 Elm Creek Blvd N Ste 301, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457392664 | NPI | - | NPPES |
| 895008300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 30450 (Minnesota) | Primary |
| 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 Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | St. Croix Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20110929000165 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20111020000173 |
| Entity Name | Carris Health - Redwood Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265914048 PECOS PAC ID: 7911259619 Enrollment ID: O20181129001082 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gregory Hatfield, MD 12000 Elm Creek Blvd N Ste 301, Maple Grove, MN 55369-7090 Ph: (612) 234-5613 | Dr Gregory Hatfield, MD 12000 Elm Creek Blvd N Ste 301, Maple Grove, MN 55369-7090 Ph: (612) 234-5613 |
Joanna Arcuni Carlson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 17585 75th Ave N, Maple Grove, MN 55311 Phone: 952-595-1100 Fax: 612-294-4903 | |
Dr. Jeannette Louise Wilcox, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000 | |
Christopher James Jones, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N Ste 100, Maple Grove, MN 55369 Phone: 763-898-1000 |