Darla J Wrage, MD | |
1421 Premier Dr, Mankato, MN 56001-6076 | |
(507) 625-1811 | |
Not Available |
Full Name | Darla J Wrage |
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Gender | Female |
Speciality | Pediatrics |
Location | 1421 Premier Dr, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225032980 | NPI | - | NPPES |
34266800 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 44552 (Wisconsin) | Secondary |
208000000X | Pediatrics | 40206 (Minnesota) | Primary |
Entity Name | Mankato Clinic Ltd |
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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 |
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Darla J Wrage, MD 1230 E Main St, Po Box 8674, Mankato, MN 56001-5066 Ph: (507) 625-1811 | Darla J Wrage, MD 1421 Premier Dr, Mankato, MN 56001-6076 Ph: (507) 625-1811 |
Dr. Manasa Karumuri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4700 | |
Krista Hemmesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Matthew Gunars Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4863 | |
Kenneth C Weimer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Rachel L. Singh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Ebtihal Ahmed Mohamed Ahmed, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |