Dakota Clinic, Ltd. Detroit Lakes is a
Physician Assistant based in Detroit Lakes, Minnesota. Dakota Clinic, Ltd. Detroit Lakes is licensed to practice in Minnesota (license number ) and their current practice location is
125 Frazee St E, Detroit Lakes, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(218) 844-2300.
NPI number for Dakota Clinic, Ltd. Detroit Lakes is 1437228574 and their current mailing address is Po Box 727, Detroit Lakes, Minnesota. Dakota Clinic, Ltd. Detroit Lakes
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1437228574.
Healthcare Provider's Profile
| Full Name | Dakota Clinic, Ltd. Detroit Lakes |
|---|
| Type | Facility |
|---|
| Speciality | Physician Assistant |
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| Location | 125 Frazee St E, Detroit Lakes, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1437228574
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Dakota Clinic, Ltd. Detroit Lakes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437228574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | (Minnesota) | Primary |
| 163W00000X | Registered Nurse | (Minnesota) | Primary |
| 174400000X | Specialist | (Minnesota) | Primary |
| 207Q00000X | Family Medicine | (Minnesota) | Primary |
| 213E00000X | Podiatrist | (Minnesota) | Primary |
| 225100000X | Physical Therapist | (Minnesota) | Primary |
| 235Z00000X | Speech-language Pathologist | (Minnesota) | Primary |
| 363A00000X | Physician Assistant | (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dakota Clinic, Ltd. Detroit Lakes is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dakota Clinic, Ltd. Detroit Lakes
Po Box 727,
Detroit Lakes, MN 56502-0727
Ph: (218) 844-2300 | Dakota Clinic, Ltd. Detroit Lakes
125 Frazee St E,
Detroit Lakes, MN 56501-3501
Ph: (218) 844-2300 |
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