| Stanton L Andrist, OD | |
|
420 Center Ave, Suite 41, Moorhead, MN 56560-1957 | |
| (218) 233-1624 | |
| (218) 233-2058 |
| Full Name | Stanton L Andrist |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 40 Years |
| Location | 420 Center Ave, Moorhead, 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 |
|---|---|---|---|
| 1336133586 | NPI | - | NPPES |
| 947723300 | Medicaid | MN | |
| P01065711 | Other | MN | RR MEDICARE |
| 60344 | Medicaid | ND | |
| 61000AN | Other | MN | BCBS PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2021 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stanton L Andrist And Casey C Bartz | 8921268251 | 3 |
| Provider Name | Stanton L Andrist & Casey C Bartz |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164794780 PECOS PAC ID: 8921268251 Enrollment ID: O20120323000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanton L Andrist, OD 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 Ph: (218) 233-1624 | Stanton L Andrist, OD 420 Center Ave, Suite 41, Moorhead, MN 56560-1957 Ph: (218) 233-1624 |
Thomas N Lorentzsen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Stanton L Andrist & Casey C Bartz Optometrist Medicare: Medicare Enrolled Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Thomas N Lorentzsen & Stanton L Andrist Ptr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Dr. Casey Clay Bartz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave, Suite 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 | |
Picken Welder Optometry, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 725 Center Ave, Ste 2, Moorhead, MN 56560 Phone: 218-233-2650 Fax: 218-233-2928 | |
Dr. Patrick Alexander Williamson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 Center Ave Ste 41, Moorhead, MN 56560 Phone: 218-233-1624 Fax: 218-233-2058 |