| Matei Teodorescu, MD | |
|
425 7th St Nw, Cass Lake, MN 56633-3360 | |
| (218) 335-3200 | |
| Not Available |
| Full Name | Matei Teodorescu |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 425 7th St Nw, Cass Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437133543 | NPI | - | NPPES |
| 544668 | Medicaid | IA | |
| A044 | Other | MN | CHAMPUS |
| 71613800 | Medicaid | MN | |
| MH9041028422 | Other | MN | PPO |
| 141035 | Medicaid | MN | |
| 7309 | Other | MN | AVERA |
| 12-02485 | Other | MN | MEDICA |
| 46G55TE | Other | MN | BCBS |
| 46G55TE | Other | MN | BCBS/MEDICARE SUPPLEMENT |
| 1415252 | Other | MN | ARAZ |
| 46G55TE | Medicaid | MN | |
| HP33897 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 44112 (Minnesota) | Primary |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Matei Teodorescu, MD 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 | Matei Teodorescu, MD 425 7th St Nw, Cass Lake, MN 56633-3360 Ph: (218) 335-3200 |
Dr. Amy J Hatcher, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 425th 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 | |
Alice Kathleen Lingen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 425 7th St Nw, Cass Lake, MN 56633 Phone: 218-335-3200 Fax: 218-335-3284 |