Dr Eric Ryan Fenstad, MD, MSC | |
13205 Isle Dr, Suite 100, Baxter, MN 56425-8554 | |
(218) 855-5280 | |
Not Available |
Full Name | Dr Eric Ryan Fenstad |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 16 Years |
Location | 13205 Isle Dr, Baxter, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043476732 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 51907 (Minnesota) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | 51907 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
St Josephs Medical Center | 8224948443 | 214 |
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 |
Mailing Address | Practice Location Address |
---|---|
Dr Eric Ryan Fenstad, MD, MSC 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-1166 | Dr Eric Ryan Fenstad, MD, MSC 13205 Isle Dr, Suite 100, Baxter, MN 56425-8554 Ph: (218) 855-5280 |
James D Madison, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13367 Isle Dr, Baxter, MN 56425 Phone: 218-855-5280 | |
Timothy Glenn Dirks, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 13367 Isle Dr, Baxter, MN 56425 Phone: 218-855-5280 | |
James A Furda, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 13367 Isle Dr, Baxter, MN 56425 Phone: 218-855-5280 |