| Mary Moe Trites, MD | |
|
4695 Shoreline Dr, Spring Park, MN 55384-9715 | |
| (952) 442-7890 | |
| (952) 442-7893 |
| Full Name | Mary Moe Trites |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 42 Years |
| Location | 4695 Shoreline Dr, Spring Park, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912906017 | NPI | - | NPPES |
| 113080300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29003 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital District | Blue earth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Hospital District Inc | 6204158884 | 42 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20141210001742 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20150422000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Moe Trites, MD 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 | Mary Moe Trites, MD 4695 Shoreline Dr, Spring Park, MN 55384-9715 Ph: (952) 442-7890 |
Dr. Julie A Dejong, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 | |
Steven Jay Nerheim, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7893 | |
Sheila N Seats, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7893 | |
Jerry R Petersen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7893 |