MAGGIE B. NEUDECKER MD – NPI #1154647071
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

MAGGIE NEUDECKER is a physician located in MOOSE LAKE, MN. NPPES has assigned the NPI number 1154647071 to MAGGIE NEUDECKER on April 16, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Jan 13, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MAGGIE NEUDECKER below.

NPI Profile for
MAGGIE B. NEUDECKER

NPI Number
1154647071
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MAGGIE B. NEUDECKER
Credentials
MD
Primary location
4570 CTY. HWY. 61
MOOSE LAKE, MN 55767-9401
Phone: (218) 485-4491 Fax: (218) 485-4724
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MAGGIE NEUDECKER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF MNMN1154647071
OTHERMEDICA1154647071
OTHERRR MEDICAREP00978476
MEDICAIDMN1154647071
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
MN 54207

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MAGGIE NEUDECKER is affiliated with the following medical group(s):
  • HOSPITAL
    • ESSENTIA HEALTH MOOSE LAKE
      4572 COUNTY ROAD 61
      MOOSE LAKE, MN 55767
    • ESSENTIA HEALTH SANDSTONE
      705 LUNDORFF DRIVE SOUTH
      SANDSTONE, MN 55072
  • HOME HEALTH AGENCY
    • ESSENTIA HEALTH MOOSE LAKE HOME CARE
      30 ARROWHEAD LANE
      MOOSE LAKE, MN 55767

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How do I correct or change the NPI data displayed here?
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Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.