Dr Kenneth James Wright, MD | |
711 Delmore Dr - Altru Clinic/roseau, Roseau, MN 56751-1534 | |
(218) 463-1365 | |
(218) 463-3928 |
Full Name | Dr Kenneth James Wright |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 711 Delmore Dr - Altru Clinic/roseau, Roseau, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235174376 | NPI | - | NPPES |
5F528 | Other | AR | BCBS-MEDICAL PARK DRS GP |
146792001 | Medicaid | AR | |
160354002 | Medicaid | AR | |
5M277 | Other | AR | BCBS |
1460818 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.15640R (Louisiana) | Secondary |
207Q00000X | Family Medicine | E3349 (Arkansas) | Secondary |
207Q00000X | Family Medicine | 46906 (Minnesota) | Primary |
Entity Name | Correct Care, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215987441 PECOS PAC ID: 8628980992 Enrollment ID: O20040816000150 |
Entity Name | Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477590974 PECOS PAC ID: 9830001650 Enrollment ID: O20050610000177 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20130515000072 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth James Wright, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Dr Kenneth James Wright, MD 711 Delmore Dr - Altru Clinic/roseau, Roseau, MN 56751-1534 Ph: (218) 463-1365 |
Luis G Jain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. David A Brett, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Amber Rose Dybdal Nielsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. Annabi I Djalo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Delmore Dr, Roseau, MN 56751 Phone: 718-320-1950 | |
Robert J Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Ralph H Herseth, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 |