Dianne M Kendall, MD | |
523 N 3rd St, Brainerd, MN 56401-3054 | |
(218) 829-2861 | |
(218) 828-7611 |
Full Name | Dianne M Kendall |
---|---|
Gender | Female |
Speciality | Pathology |
Experience | 29 Years |
Location | 523 N 3rd St, Brainerd, 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 |
---|---|---|---|
1619945458 | NPI | - | NPPES |
450059800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 42419 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Essentia Health Duluth | Duluth, MN | Hospital |
Essentia Health | Fargo, ND | Hospital |
St Marys Hospital Superior | Superior, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | St Josephs Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
Entity Name | Brainerd Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295801777 PECOS PAC ID: 0648270272 Enrollment ID: O20070105000140 |
Entity Name | Essentia Health Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
Mailing Address | Practice Location Address |
---|---|
Dianne M Kendall, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 | Dianne M Kendall, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 |
Thomas C Ortmeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Dr. J Frederick Hall, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 Fax: 218-828-7510 |