| Philip L Prosapio, MD | |
|
1108 1st St Se, Little Falls, MN 56345-3440 | |
| (320) 631-2200 | |
| (320) 632-3728 |
| Full Name | Philip L Prosapio |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1108 1st St Se, Little Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487602926 | NPI | - | NPPES |
| 770763100MN | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 31140 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| 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 | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Mailing Address | Practice Location Address |
|---|---|
| Philip L Prosapio, MD 1108 1st St Se, Little Falls, MN 56345-3440 Ph: (320) 631-2200 | Philip L Prosapio, MD 1108 1st St Se, Little Falls, MN 56345-3440 Ph: (320) 631-2200 |
David Jorgensen, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728 | |
Mr. Virgil Meyer, D.O. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728 | |
David Earl Edgerton Jr., D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728 | |
Dr. Paul Ryan Johnson, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1108 1st St Se, Little Falls, MN 56345 Phone: 320-631-2200 Fax: 320-632-3728 |