| Scott W Petrescue, MD | |
|
1720 Highway 59 S, Thief River Falls, MN 56701-4331 | |
| (218) 684-4747 | |
| Not Available |
| Full Name | Scott W Petrescue |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 30 Years |
| Location | 1720 Highway 59 S, Thief River Falls, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043302474 | NPI | - | NPPES |
| 10928 | Medicaid | ND | |
| 945324500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 41217 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Network North | 8022206663 | 93 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott W Petrescue, MD 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 684-4747 | Scott W Petrescue, MD 1720 Highway 59 S, Thief River Falls, MN 56701-4331 Ph: (218) 684-4747 |
Soheil Souri, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4747 | |
Katherine Joseph, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-281-4747 | |
Michael J Clark, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Dr. Hugh Ben Cowan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Northwest Medical Center, Thief River Falls, MN 56701 Phone: 218-681-4240 | |
Duane C Browning, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Dr. Roy Taylor Klossner, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-683-2725 |