Samantha Talerico, MD | |
2436 Cleveland Ave N, Roseville, MN 55113-2727 | |
(651) 645-4693 | |
Not Available |
Full Name | Samantha Talerico |
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Gender | Female |
Speciality | Pediatrics |
Location | 2436 Cleveland Ave N, Roseville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952982035 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 75824 (Minnesota) | Primary |
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Mailing Address | Practice Location Address |
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Samantha Talerico, MD 2436 Cleveland Ave N, Roseville, MN 55113-2727 Ph: () - | Samantha Talerico, MD 2436 Cleveland Ave N, Roseville, MN 55113-2727 Ph: (651) 645-4693 |
Dr. Byron Johnson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1944 Shryer Ave W, Roseville, MN 55113 Phone: 651-633-9080 | |
Dr. Douglas Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 Fax: 651-241-5140 | |
Jason Michael Prostrollo, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1835 County Road C W, Roseville, MN 55113 Phone: 763-785-4300 Fax: 763-785-7779 | |
Dr. Forrest Blanton Bessinger Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2155 Rosewood Ln N, Roseville, MN 55113 Phone: 651-636-8534 | |
Heidi Currier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2720 Fairview Ave N Ste 100, Roseville, MN 55113 Phone: 651-241-5290 |