| Sarah Ria Tan, DO | |
|
1540 Lake St S, Forest Lake, MN 55025-2628 | |
| (651) 464-7100 | |
| Not Available |
| Full Name | Sarah Ria Tan |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 13 Years |
| Location | 1540 Lake St S, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598100950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 68925 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | 65706 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Ria Tan, DO 1540 Lake St S, Forest Lake, MN 55025-2628 Ph: (651) 464-7100 | Sarah Ria Tan, DO 1540 Lake St S, Forest Lake, MN 55025-2628 Ph: (651) 464-7100 |
Dr. Oluwakemi Tinuke Olowoyo, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-241-1515 | |
Dr. Vivian Lilly Wireko-brobby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-241-1515 | |
Melissa Beth Cummings, APN-FNP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 608 Lake St S Ste D, Forest Lake, MN 55025 Phone: 651-464-6444 | |
Gary J. Mayer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 | |
Linda Wilkes Asadourian, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 Fax: 651-982-5515 | |
Steven Duane Semmler, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 | |
Dr. Brett J Salek, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 |