| Nathan David Lee, MD | |
|
251 County Road 120, Saint Cloud, MN 56303-4872 | |
| (320) 202-8949 | |
| (320) 202-0756 |
| Full Name | Nathan David Lee |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 251 County Road 120, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962677518 | NPI | - | NPPES |
| 1962677518 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 53937 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Nathan David Lee, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700 | Nathan David Lee, MD 251 County Road 120, Saint Cloud, MN 56303-4872 Ph: (320) 202-8949 |
Catherine A Matuska, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Dr. Christina Marie Bulisco, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir # 2300, Centracare Health Plaza Obstetrics And Women's Health, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Ellen E Brown, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Centracare Clinic Women And Children's Ob/gyn, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 | |
David A Kroska, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 | |
Jessica Pike Swartout, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Diane Rose Duckworth, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 Fax: 320-251-6942 | |
Eric G Thompson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657 |