Andrew Moen is a Detroit Lakes, Minnesota based male podiatrist with 16 years of experience in Podiatry. He completed his graduation in 2008. He is also affiliated with hospitals like Essentia Health St Marys - Detroit Lakes and Essentia Health Fosston. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Andrew Moen for Podiatry is 844 in Minnesota. Andrew Moen is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Andrew Moen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
D.P.M.
Experience:
16+ years
Medical School Attended:
Other
Graduation Year:
2008
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1027 Washington Ave, Detroit Lakes, Minnesota, 56501-3409
Phone:
218-847-5611
Fax:
218-847-0881
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.
PAC ID:
4486822665
Enrollment ID:
I20110713000546
NPI Number:
1073843587
NPI Enumeration Date:
05 Jan, 2010
NPI Last Update On:
07 Dec, 2011
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Andrew Moen are as mentioned below.
License Number
Specialization
State
Status
844
Podiatry
Minnesota
Primary
TP-169
Podiatry
Minnesota
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
Essentia Health St Marys - Detroit Lakes (240101)
Detroit lakes, MN
Acute Care Hospital
Essentia Health Fosston (241357)
Fosston, MN
Critical Access Hospital
Essentia Health (350070)
Fargo, ND
Acute Care Hospital
Group Practice:
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 Andrew Moen is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
First Care Medical Services (3678542842)
14
St Marys Regional Health Center (2062326820)
146
Other Medical Identifiers:
Other legacy medical identifiers associated with Andrew Moen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1073843587
Medicaid
Minnesota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1027 Washington Ave, Detroit Lakes, Minnesota
Zip:
56501-3409
Phone Number:
218-847-5611
Fax Number:
218-847-0881
Patients can reach Andrew Moen at 1027 Washington Ave, Detroit Lakes, Minnesota or can call to book an appointment on 218-847-5611. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.