Maria Kathleen Shue, DO | |
100 State Ave, Faribault, MN 55021-6337 | |
(507) 334-3921 | |
(507) 384-4470 |
Full Name | Maria Kathleen Shue |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 100 State Ave, Faribault, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700199049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 04387 (Iowa) | Secondary |
207Q00000X | Family Medicine | 59980 (Minnesota) | Primary |
Entity Name | Cherokee Nation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780692723 PECOS PAC ID: 5799698742 Enrollment ID: O20031106000628 |
Mailing Address | Practice Location Address |
---|---|
Maria Kathleen Shue, DO 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Maria Kathleen Shue, DO 100 State Ave, Faribault, MN 55021-6337 Ph: (507) 334-3921 |
Mysoon Ayuob, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 State Ave, Faribault, MN 55021 Phone: 150-733-3330 | |
Sigrid Anne Nelson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Brenda Joyce Hurtt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 | |
Ray W Wood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-6668 | |
Julie A Donahue, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 | |
George M Wagner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5299 | |
Mary Jane Tetzloff, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5298 |