| Dr Samantha J Ganick, MD | |
|
2351 Connecticut Ave S Ste 200, Sartell, MN 56377-2477 | |
| (320) 259-1411 | |
| (320) 259-8967 |
| Full Name | Dr Samantha J Ganick |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 19 Years |
| Location | 2351 Connecticut Ave S Ste 200, Sartell, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447420427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 253902 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Carris Health Llc | Willmar, MN | Hospital |
| Carris Health - Redwood, Llc | Redwood falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Centracare Clinic Southwest Llc | 8426457946 | 153 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samantha J Ganick, MD 2351 Connecticut Ave S Ste 200, Sartell, MN 56377-2477 Ph: (320) 259-1411 | Dr Samantha J Ganick, MD 2351 Connecticut Ave S Ste 200, Sartell, MN 56377-2477 Ph: (320) 259-1411 |
Dr. John Kazuo Matsuura, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Andrew Peter Windsperger, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Albert David Matthew, Urology Medicare: Not Enrolled in Medicare Practice Location: 2351 Connecticut Avenue South, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Dr. Christopher William Boelter, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Elizabeth A Phillips, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 | |
Lori Ann Pinke, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 | |
Dr. Shawn Michael Mcgee, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2351 Connecticut Ave S, Suite 200, Sartell, MN 56377 Phone: 320-259-1411 Fax: 320-259-8967 |