| Theodore Truitt, MD | |
|
1528 Northway Dr, Saint Cloud, MN 56303-1255 | |
| (320) 252-0233 | |
| (320) 257-1126 |
| Full Name | Theodore Truitt |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 1528 Northway Dr, Saint Cloud, 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 |
|---|---|---|---|
| 1740240258 | NPI | - | NPPES |
| 023625000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 42775 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Lakewood Health System | Staples, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Cloud Ear Nose And Throat Clinic Pa | 5496774242 | 12 |
| Entity Name | St Cloud Ear Nose & Throat Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508882754 PECOS PAC ID: 5496774242 Enrollment ID: O20051122000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodore Truitt, MD 1528 Northway Dr, Saint Cloud, MN 56303-1255 Ph: (320) 252-0233 | Theodore Truitt, MD 1528 Northway Dr, Saint Cloud, MN 56303-1255 Ph: (320) 252-0233 |
Stephen Cragle, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 | |
Dr. David Taylor, D.O. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 1528 Northway Drive, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-252-1421 | |
Mrs. Amy Corinne Dearking, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-252-1421 | |
Gerald Jurgens, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1166 | |
Todd Magnuson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 | |
Ronald Hanson, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1528 Northway Dr, Saint Cloud, MN 56303 Phone: 320-252-0233 Fax: 320-257-1126 |