| Dr Suzanne Moffit, DO | |
|
2355 Highway 36 W, Ste 100, Roseville, MN 55113-3905 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Dr Suzanne Moffit |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 2355 Highway 36 W, Roseville, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487687406 | NPI | - | NPPES |
| 063897800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 44768 (Minnesota) | Primary |
| Entity Name | Grand Itasca Clinic and Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 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 | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Lac Qui Parle Clinic of Madison Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
| 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 | Pembina County Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417093949 PECOS PAC ID: 4789643719 Enrollment ID: O20120921000536 |
| Entity Name | Towner County Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124041389 PECOS PAC ID: 6800798497 Enrollment ID: O20160111001169 |
| Entity Name | Madison Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20160809000563 |
| 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 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suzanne Moffit, DO 2355 Highway 36 W, Ste 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | Dr Suzanne Moffit, DO 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 |
Dr. Darrin Lee Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |
John P Knoedler Jr., MD Radiology Medicare: May Accept 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 |