| Munir H Idriss, MD | |
|
2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 | |
| (651) 633-6883 | |
| (651) 331-3459 |
| Full Name | Munir H Idriss |
|---|---|
| Gender | Male |
| Speciality | Micrographic Dermatologic Surgery (mds) |
| Experience | 20 Years |
| Location | 2720 Fairview Ave N Ste 200, Roseville, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750887444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 82274 (Wisconsin) | Primary |
| 207N00000X | Dermatology | 66462 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1187 |
| Tareen Dermatology Pa | 8123288156 | 43 |
| Tareen Dermatology Pa | 8123288156 | 43 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Beaver Dam Community Hospitals Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
| Entity Name | Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
| Entity Name | Flambeau Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
| Mailing Address | Practice Location Address |
|---|---|
| Munir H Idriss, MD 2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 Ph: (651) 633-6883 | Munir H Idriss, MD 2720 Fairview Ave N Ste 200, Roseville, MN 55113-1306 Ph: (651) 633-6883 |
Madeeha Drissi, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 | |
Laura Michelle Rezac, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N, Roseville, MN 55113 Phone: 651-634-1410 Fax: 651-689-8340 | |
Olivia Clare Bien, Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-528-6276 | |
Dr. Mohiba K Tareen, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-331-3459 | |
Tyler Drake Menge, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 | |
Yun Xue Kao, M.D. Dermatology Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 |