Edward B Martin - Chafee
MD | Pediatric Cardiology | Male
Edward B Martin - Chafee, MD is a St Cloud, Minnesota based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Edward B Martin - Chafee is
1200 Sixth Ave N, St Cloud, Minnesota - 56303-2735. He can be contacted on phone at
320-251-2700 and fax number 320-240-2118.
Edward B Martin - Chafee is a sole proprietor of his business.
NPI number (Unique professional ID) for Edward B Martin - Chafee is
1295728848 which was assigned by NPPES on 30 Aug, 2005 and it was last updated on 23 Mar, 2015.
Edward B Martin - Chafee license number is
34891 for Pediatrics Pediatric Cardiology (2080P0202X) in Minnesota.
Edward B Martin - Chafee provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Edward B Martin - Chafee basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Edward B Martin - Chafee |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Edward B Martin - Chafee address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1200 Sixth Ave N
St Cloud, MN, 56303-2735
United States |
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| Phone Number : | 320-251-2700 |
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| Fax Number : | 320-240-2118 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295728848 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2005 |
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| Last Updated On : | 23 Mar, 2015 |
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Medicare Participation:
Edward B Martin - Chafee participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3870508575 |
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| Medicare Enrollment ID : | I20060216000471 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Michigan Medical School |
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| Graduation Year : | 1987 |
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| Accepts Medicare? | Yes. Edward B Martin - Chafee accepts medicare insurance. |
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Group Practice Association:
Edward B Martin - Chafee is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Edward B Martin - Chafee is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Centracare Clinic | 2466363395 | 592 | 1200 6th N Ave
Saint Cloud, MN - 563032735
Ph: 3202525131 | Yes |
| Centracare Clinic | 2466363395 | 592 | 1200 6th Ave N
Centracare Clic River Campus
Saint Cloud, MN - 563032735
Ph: 3202525131 | Yes |
| Centracare Clinic | 2466363395 | 592 | 1200 6th Ave N
St Cloud, MN - 563032735
Ph: 3202525131 | Yes |
| Fairview Express Care | 3375645179 | 1469 | 717 Delaware St Se
Suite 340
Minneapolis, MN - 554142959
Ph: 6126727422 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edward B Martin - Chafee are as mentioned. Primary taxonomy code for Edward B Martin - Chafee, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | No | 34891 | MN |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 34891 | MN |
Legacy Identifiers:
Other legacy medical identifiers of Edward B Martin - Chafee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4700063P | Other | | MEDICA HEALTH PLANS |
| 074563400 | MEDICAID | MN | |
| 690476 | Other | | FIRST HEALTH PLAN |
| HP20318 | Other | | HEALTH PARTNERS |
| 074563400 | Other | | MEDICAL ASSISTANCE (MA) |
| 115598 | Other | | U-CARE |
| 1207854 | Other | | MEDICA HEALTH PLANS |
| 90051 | Other | | ARAZ GROUP/AMERICA'S PPO |
| 1012096 | Other | | PREFERRED ONE |
| 51G94MA | Other | | BLUE CROSS BLUE SHIELD |
| 370015977 | Other | | RR MEDICARE |
| CQ2388 | Other | | RR MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1200 Sixth Ave N
St Cloud, MN, 56303-2735
United States |
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| Phone Number : | 320-251-2700 |
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| Fax Number : | 320-240-2118 |
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Business Location:
Patients can refer following map for directions to
Edward B Martin - Chafee practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.