Abby M Dettmer, DO | |
1575 Lookout Dr, North Mankato, MN 56003-2503 | |
(507) 625-1811 | |
Not Available |
Full Name | Abby M Dettmer |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 19 Years |
Location | 1575 Lookout Dr, North Mankato, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891706263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | R-7613 (Iowa) | Secondary |
207Q00000X | Family Medicine | 50395 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mayo Clinic Health System - Waseca | Waseca, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mankato Clinic Ltd | 5597677955 | 193 |
Entity Name | Mankato Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
Mailing Address | Practice Location Address |
---|---|
Abby M Dettmer, DO 1575 Lookout Dr, North Mankato, MN 56003-2503 Ph: (507) 625-1811 | Abby M Dettmer, DO 1575 Lookout Dr, North Mankato, MN 56003-2503 Ph: (507) 625-1811 |
James Andrew Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Lookout Dr, North Mankato, MN 56003 Phone: 507-625-5027 | |
Abdifatah Abdullahi Ahmed, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1695 Lor Ray Dr, North Mankato, MN 56003 Phone: 507-625-4031 | |
Gerald K Kowal, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1695 Lor Ray Dr, North Mankato, MN 56003 Phone: 507-387-8231 | |
Daniel P Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Lookout Dr, Mankato Clinic At North Mankato, North Mankato, MN 56003 Phone: 507-625-5027 | |
Amy Jo Sorensen, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1575 Lookout Dr, North Mankato, MN 56003 Phone: 507-625-1811 | |
James Robert West, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1695 Lor Ray Dr, North Mankato, MN 56003 Phone: 507-625-4031 | |
Gregory R Kutcher, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1695 Lor Ray Dr, North Mankato, MN 56003 Phone: 507-387-8231 |