| Thomas W Leither, MD | |
|
1200 6th Ave N, Saint Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| (320) 240-2118 |
| Full Name | Thomas W Leither |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 1200 6th Ave N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982694584 | NPI | - | NPPES |
| 2114022 | Other | FIRST HEALTH PLAN | |
| 3120409 | Other | MEDICA HEALTH PLANS | |
| 390003513 | Other | RR MEDICARE | |
| HP25474 | Other | HEALTH PARTNERS | |
| 3100290(PL) | Other | MEDICA HEALTH PLANS | |
| 986015 | Other | PREFERRED ONE | |
| 110905 | Other | U CARE | |
| CU0204 | Other | RR MEDICARE | |
| 600880 | Other | ARAZ GROUP AMERICAS PPO | |
| 6D072LE | Other | BLUE CROSS BLUE SHIELD | |
| 686508900 | Other | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 26978 (Minnesota) | Primary |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas W Leither, MD 1200 6th Ave N, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 | Thomas W Leither, MD 1200 6th Ave N, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Bradley E Currier, MD Nephrology 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 Nephrology Medicare: May Accept Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
Kamiab Delfanian, MD Nephrology 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 Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-252-5131 | |
John D Olsen, MD Nephrology 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 Nephrology 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. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 |