| Mr Thomas Jon Rishavy, MD | |
|
1420 London Rd, Suite 101, Duluth, MN 55805-2433 | |
| (218) 724-7363 | |
| (218) 724-6199 |
| Full Name | Mr Thomas Jon Rishavy |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 29 Years |
| Location | 1420 London Rd, Duluth, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295771798 | NPI | - | NPPES |
| 078738800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | 45103 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Northland Plastic Surgery Pa | 3577545870 | 4 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Northland Plastic Surgery Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275569477 PECOS PAC ID: 3577545870 Enrollment ID: O20040602000051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Thomas Jon Rishavy, MD 1420 London Rd, Suite 101, Duluth, MN 55805-2433 Ph: (218) 724-7363 | Mr Thomas Jon Rishavy, MD 1420 London Rd, Suite 101, Duluth, MN 55805-2433 Ph: (218) 724-7363 |
Dr. Sarah Layne Crandall, M.D., Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1420 London Rd Ste 101, Duluth, MN 55805 Phone: 218-724-7363 | |
Dr. Edgar F. Saldana, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 W Superior St Ste 100, Duluth, MN 55802 Phone: 218-215-8990 Fax: 218-217-4371 | |
Dr. Andrew Baertsch, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1420 London Rd, Suite 101, Duluth, MN 55805 Phone: 218-724-7363 Fax: 218-724-6199 | |
Andrew Daniel Messa, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1420 London Rd, Suite 101, Duluth, MN 55805 Phone: 218-724-7363 Fax: 218-724-6199 | |
Dr. Wade Daniel Kubat, D.O. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1012 E 2nd St, Duluth, MN 55805 Phone: 218-249-7910 Fax: 218-249-7999 | |
Dean Herbert Weber, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1420 London Rd, Suite 101, Duluth, MN 55805 Phone: 218-724-7363 Fax: 218-724-6199 |