| Thom G A Dahle, MD | |
|
1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 255-5714 |
| Full Name | Thom G A Dahle |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 23 Years |
| Location | 1200 6th Ave N, 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 |
|---|---|---|---|
| 1760458673 | NPI | - | NPPES |
| 869632200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46342 (Minnesota) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 46342 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Carris Health Llc | Willmar, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Tri County Hospital | Wadena, MN | Hospital |
| St Gabriels Hospital | Little falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Astera Health | 2961395272 | 90 |
| 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 | Astera Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134305162 PECOS PAC ID: 2961395272 Enrollment ID: O20040202001082 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Astera Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477545333 PECOS PAC ID: 2961395272 Enrollment ID: O20060504000722 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Mailing Address | Practice Location Address |
|---|---|
| Thom G A Dahle, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 | Thom G A Dahle, MD 1200 6th Ave N, Centracare Clinic, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Bradley E Currier, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-240-2205 Fax: 320-229-5174 | |
Bharath Manu Akkara Veetil, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Kamiab Delfanian, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Suite 2400, Saint Cloud, MN 56303 Phone: 320-229-5099 Fax: 320-229-5171 | |
Jyh-yau Tsaur, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
John D Olsen, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Mark J Martone, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 Fax: 320-240-2118 | |
Matthew Eggebrecht, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |