| Paul E Vangorp, MD | |
|
20 9th St Se, Centracare Health System Long Prairie, Long Prairie, MN 56347-1404 | |
| (320) 732-2131 | |
| (320) 732-6913 |
| Full Name | Paul E Vangorp |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 20 9th St Se, Long Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639160898 | NPI | - | NPPES |
| COMP | Other | MMSI | |
| COMP | Other | ONE HEALTH PLAN/GREATWEST | |
| HP23039 | Other | HEALTH PARTNERS | |
| 1006861 | Other | PREFERRED ONE | |
| 116872 | Other | U-CARE | |
| 0106463 | Other | MEDICA HEALTH PLANS | |
| 499762000 | Other | MEDICAL ASSISTANCE | |
| 54Q37VA | Other | BLUE CROSS BLUE SHIELD | |
| 784038 | Other | FIRST HEALTH PLAN | |
| 806968 | Other | ARAZ GROUP/AMERICAS PPO | |
| COMP | Other | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21819 (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 | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Entity Name | Centracare Health System - Long Prairie |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164471678 PECOS PAC ID: 3870524598 Enrollment ID: O20050823000460 |
| Entity Name | Centracare Health System - Sauk Centre |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578813762 PECOS PAC ID: 4981857216 Enrollment ID: O20130116000380 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1205269941 PECOS PAC ID: 1153555719 Enrollment ID: O20131108000012 |
| Entity Name | Centracare Health-paynesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629402516 PECOS PAC ID: 1153555719 Enrollment ID: O20140909002390 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul E Vangorp, MD 20 9th St Se, Centracare Health System Long Prairie, Long Prairie, MN 56347-1404 Ph: (320) 732-2131 | Paul E Vangorp, MD 20 9th St Se, Centracare Health System Long Prairie, Long Prairie, MN 56347-1404 Ph: (320) 732-2131 |
Rene Eldidy Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 9th St Se, Centracare Health System - Long Prairie, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913 | |
Deborah Peterson Rasmussen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 9th St Se, Centracare Health System-long Prairie, Long Prairie, MN 56347 Phone: 320-732-2131 Fax: 320-732-6913 | |
Ryan Christopher Scott, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 9th St Se, Long Prairie, MN 56347 Phone: 320-732-2131 |