| Dr Terri J Radovich, MD | |
|
1601 Golf Course Rd, Grand Rapids, MN 55744-8648 | |
| (218) 326-5000 | |
| Not Available |
| Full Name | Dr Terri J Radovich |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649257213 | NPI | - | NPPES |
| 1649257213 | Other | UCARE | |
| 1649257213 | Other | MN | PREFERRED ONE |
| 1649257213 | Other | HEALTHPARTNERS | |
| 1649257213 | Other | TRICARE | |
| 1649257213 | Other | WI | WI MEDICAID |
| 1649257213 | Medicaid | MN | |
| 1649257213 | Medicaid | WI | |
| 597077600 | Medicaid | MN | |
| 0141137 | Other | MEDICA | |
| 1649257213 | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29406 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Terri J Radovich, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Dr Terri J Radovich, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
Dr. Patricia C. Carlin-janssen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Anne Eileen Tofte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Edwin A. Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Timothy J. Pehl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Dr. Michael B. Liebe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 | |
Arie Degrio, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-999-1442 Fax: 218-999-1461 | |
Richard J Helvig, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Golf Course Rd, Grand Rapids, MN 55744 Phone: 218-326-5000 |