| Maggie Beth Neudecker, MD | |
|
4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 | |
| (218) 485-4491 | |
| (218) 485-4724 |
| Full Name | Maggie Beth Neudecker |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 4570 Cty. Hwy. 61, Moose Lake, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154647071 | NPI | - | NPPES |
| 1154647071 | Other | MEDICA | |
| P00978476 | Other | RR MEDICARE | |
| 1154647071 | Medicaid | MN | |
| 1154647071 | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 54207 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gateway Family Health Clinic, Ltd. | 6305758657 | 18 |
| Entity Name | Gateway Family Health Clinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
| Entity Name | Duluth Graduate Medical Education Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972585867 PECOS PAC ID: 4385545953 Enrollment ID: O20040116000311 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Maggie Beth Neudecker, MD 4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 | Maggie Beth Neudecker, MD 4570 Cty. Hwy. 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4491 |
Kathryn Dobbs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4570 Co Hwy 61, Moose Lake, MN 55767 Phone: 218-425-4491 | |
Randy J. Rice, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Dr. Andrea Karin Kratzke Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-485-2015 | |
Dr. Steve S. Tekippe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Kathy H. Brandli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Barbara J. Reed, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 |