| Evans O Magambo, MD | |
|
815 2nd St Se, Little Falls, MN 56345-3505 | |
| (320) 632-5441 | |
| (320) 631-5616 |
| Full Name | Evans O Magambo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 23 Years |
| Location | 815 2nd St Se, Little Falls, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881824407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1105182A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | 54956 (Minnesota) | Secondary |
| 207P00000X | Emergency Medicine | 54956 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Parkview Whitley Hospital | Columbia city, IN | Hospital |
| Caverna Memorial Hospital | Horse cave, KY | Hospital |
| Dekalb Health | Auburn, IN | Hospital |
| Parkview Wabash Hospital, Inc | Wabash, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Emergency Physicians Pc | 2769384213 | 46 |
| Southeastern Emergency Physicians Llc | 2466364997 | 627 |
| Entity Name | Professional Emergency Physicians Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144215096 PECOS PAC ID: 2769384213 Enrollment ID: O20040123000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Evans O Magambo, MD 3699 Cavallo Pass, Chaska, MN 55318-3602 Ph: (612) 816-8815 | Evans O Magambo, MD 815 2nd St Se, Little Falls, MN 56345-3505 Ph: (320) 632-5441 |
Dr. Leighanne H Houserman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 815 2nd St Se, Emergency Dept, Little Falls, MN 56345 Phone: 320-632-5441 | |
Dr. Adam Jason Shapin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 815 2nd St Se, Little Falls, MN 56345 Phone: 320-632-5441 |