| Mr Tracy Alan Powell, MD | |
|
303 Catlin St, Buffalo, MN 55313-1947 | |
| (763) 684-7500 | |
| (763) 684-7515 |
| Full Name | Mr Tracy Alan Powell |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 303 Catlin St, Buffalo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952385304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 32554 (Minnesota) | Primary |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20061104000642 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy Alan Powell, MD 2414 Walden Way, Saint Cloud, MN 56301-9071 Ph: (320) 253-7127 | Mr Tracy Alan Powell, MD 303 Catlin St, Buffalo, MN 55313-1947 Ph: (763) 684-7500 |
Dustin Michael Timmons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Charles Lick, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Lynn Simon, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Catlin Street, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Nicholas Joseph Abram, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-1212 | |
Dr. William M Goodall, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
John Frank Robinson, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 Catlin St, Buffalo Hospital, Buffalo, MN 55313 Phone: 763-684-7500 Fax: 763-684-7152 | |
Christine Ingrid Delmonico, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 303 Catlin St, Emergency Department, Buffalo, MN 55313 Phone: 763-684-7500 |