Dr William Frederic Northrup Iii, MD in White Bear Lake, MN

Dr William Frederic Northrup Iii, MD - Surgery in White Bear Lake, MN

Dr William Frederic Northrup Iii, MD is a Surgery physician based in White Bear Lake, Minnesota. Dr William Frederic Northrup Iii is licensed to practice in Minnesota (license number 20586) and his current practice location is 4770 White Bear Pkwy, Lower Level, White Bear Lake, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 653-1850.

NPI number for Dr William Frederic Northrup Iii is 1265496343 and his current mailing address is 4702 Lakeview Dr, Minneapolis, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265496343.

Contact Information

	Dr William Frederic Northrup Iii, MD
	4770 White Bear Pkwy, Lower Level, White Bear Lake, MN 55110-3394
	(651) 653-1850
	(651) 426-6439

Map and Direction

Physician's Profile

Full Name	Dr William Frederic Northrup Iii
Gender	Male
Speciality	Surgery
Location	4770 White Bear Pkwy, White Bear Lake, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1265496343
Provider Enumeration Date: 04/14/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr William Frederic Northrup Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265496343	NPI	-	NPPES
18-00157	Other	MN	MEDICA
108709	Other	MN	UCARE
109263	Other	MN	HEALTHPARTNERS
536K0NO	Other	MN	BLUE CROSS BLUE SHIELD MN
202741675 55110 A001	Other	MN	TRICARE
A57110010519	Other	MN	PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	20586 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr William Frederic Northrup Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr William Frederic Northrup Iii, MD 4702 Lakeview Dr, Minneapolis, MN 55424-1520 Ph: (925) 926-6913	Dr William Frederic Northrup Iii, MD 4770 White Bear Pkwy, Lower Level, White Bear Lake, MN 55110-3394 Ph: (651) 653-1850