| Soumathy C Prosper, MD | |
|
6845 Lee Ave N, Brooklyn Center, MN 55429-1717 | |
| (763) 503-4400 | |
| Not Available |
| Full Name | Soumathy C Prosper |
|---|---|
| Gender | Female |
| Speciality | Obstetrics/gynecology |
| Experience | 32 Years |
| Location | 6845 Lee Ave N, Brooklyn Center, 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 |
|---|---|---|---|
| 1629271671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 49840 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Plan Inc | 1759293954 | 1487 |
| Centracare Clinic Southwest Llc | 8426457946 | 153 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| Entity Name | Centracare Clinic Southwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802 |
| Mailing Address | Practice Location Address |
|---|---|
| Soumathy C Prosper, MD 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | Soumathy C Prosper, MD 6845 Lee Ave N, Brooklyn Center, MN 55429-1717 Ph: (763) 503-4400 |
John F Vickers, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55428 Phone: 763-569-0300 Fax: 763-569-0330 | |
Lawrence L Harms, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429 Phone: 763-569-0300 Fax: 763-569-0311 | |
Linda Nagel, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 |