Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Scott W Petrescue, MD

Individual provider Family Medicine Physician · NPI 1043302474

Scott W Petrescue, MD is a Family Practice in Thief River Falls, Minnesota. Qualified in 1996, 30 years ago. Practices with Sanford Health Network North, a 115-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
30
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1720 Highway 59 S
Thief River Falls, MN 56701-4331
Phone: (218) 684-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 41217 (MN)

Record details

NPI number1043302474
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 30, 2006
Last updated in NPPESNovember 18, 2011
Mailing address1720 Highway 59 S, Thief River Falls, MN 56701-4331

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Sanford Health Network North — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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