Peter Paul Foderick, MD is a
General Practice physician based in Ada, Minnesota. Peter Paul Foderick is licensed to practice in Minnesota (license number 13953) and his current practice location is 506 4th Ave W, 506 Fourth Ave.w, Ada, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 784-4848.
NPI number for Peter Paul Foderick is 1336315043 and his current mailing address is 506 Fourth Ave.w, P.o.box189, Ada, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336315043.
Physician's Profile
| Full Name | Peter Paul Foderick |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 506 4th Ave W, Ada, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336315043
- Provider Enumeration Date: 05/02/2008
- Last Update Date: 05/02/2008
Medical Identifiers
Medical identifiers for Peter Paul Foderick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336315043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 13953 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Paul Foderick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Peter Paul Foderick, MD
506 Fourth Ave.w, P.o.box189,
Ada, MN 56510-0189
Ph: (218) 784-4848 | Peter Paul Foderick, MD
506 4th Ave W, 506 Fourth Ave.w,
Ada, MN 56510-1011
Ph: (218) 784-4848 |
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