| Ms Renae J Matthews, PA-C | |
|
711 Delmore Dr- Altru Clinic/roseau, Roseau, MN 56751-1534 | |
| (218) 463-1365 | |
| (704) 688-9651 |
| Full Name | Ms Renae J Matthews |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 711 Delmore Dr- Altru Clinic/roseau, Roseau, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467497487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12915 (Minnesota) | Primary |
| Entity Name | Promed Healthcare PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770615114 PECOS PAC ID: 0749366607 Enrollment ID: O20080318000789 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Renae J Matthews, PA-C 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Ms Renae J Matthews, PA-C 711 Delmore Dr- Altru Clinic/roseau, Roseau, MN 56751-1534 Ph: (218) 463-1365 |
Clyde Richard Stephens, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 |
Marianne Renae Foldesi, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Drive, Roseau, MN 56751 Phone: 218-463-1365 Fax: 320-259-8044 |
Aunica Isane, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr., Roseau, MN 56751 Phone: 218-463-1365 |