Dr Ethan Tanner O'connell, MD | |
1233 34th St Nw, Bemidji, MN 56601-5112 | |
(218) 333-5596 | |
Not Available |
Full Name | Dr Ethan Tanner O'connell |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1233 34th St Nw, Bemidji, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306097928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | TL1362 (Wyoming) | Secondary |
208600000X | Surgery | 4301092736 (Michigan) | Secondary |
207P00000X | Emergency Medicine | 106348 (Minnesota) | Primary |
Entity Name | Memorial Hospital Of Converse County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
Mailing Address | Practice Location Address |
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Dr Ethan Tanner O'connell, MD 1233 34th St Nw, Bemidji, MN 56601-5112 Ph: () - | Dr Ethan Tanner O'connell, MD 1233 34th St Nw, Bemidji, MN 56601-5112 Ph: (218) 333-5596 |
Mrs. Andrea Lyn Patten, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5360 | |
David A Vanengelenhoven, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5438 | |
Dr. Joseph A. Corser, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430 Fax: 218-333-5880 | |
Dr. Paul C. Howes, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-5000 Fax: 218-333-5360 | |
Dr. Michelle Lynn Anderson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5596 Fax: 218-333-5594 | |
Dr. Micah Richard Treuer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-333-5596 | |
Dr. Jayten Shook, D.O.; MS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-5430 |