| James A Matter, MD | |
|
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
| (218) 736-8000 | |
| (218) 736-8757 |
| Full Name | James A Matter |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 712 South Cascade Street, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528167244 | NPI | - | NPPES |
| 106836 | Other | MN | UCAREMN |
| 16-00187 | Other | MN | MEDICA |
| 17870MA | Other | MN | BCBS |
| 204990006 | Medicaid | MO | |
| 7705540 | Medicaid | SD | |
| HP61029 | Other | MN | HEALTHPARTNERS |
| 1476582 | Medicaid | TX | |
| 410917444-56537-01 | Medicaid | IL | |
| 41091744413 | Medicaid | NE | |
| 510865900 | Medicaid | MN | |
| 7615484 | Medicaid | NC | |
| 457 | Medicaid | WI | |
| 806646600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 21340 (Minnesota) | Primary |
| Entity Name | Prairie Ridge Hospital And Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Mailing Address | Practice Location Address |
|---|---|
| James A Matter, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 | James A Matter, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Margaret M Barnes, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8477 Fax: 218-739-6742 |