Dr Nana Yaa Tackie, MD | |
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
(218) 847-5611 | |
(218) 847-0881 |
Full Name | Dr Nana Yaa Tackie |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 15 Years |
Location | 1027 Washington Ave, Detroit Lakes, 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 |
---|---|---|---|
1407114291 | NPI | - | NPPES |
1407114291 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 106015 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Eastside Medical Center | Snellville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Acs Primary Care Physicians - Southeast Pc | 5193620714 | 335 |
Entity Name | Acs Primary Care Physicians - Southeast Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20040901000766 |
Entity Name | Angelfish Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407259500 PECOS PAC ID: 7517282817 Enrollment ID: O20150209000684 |
Mailing Address | Practice Location Address |
---|---|
Dr Nana Yaa Tackie, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Dr Nana Yaa Tackie, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Nathan Brunken, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Rachel Redig, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Carl N. Kaster, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dr. Larry Dean Kobriger, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0891 | |
Dr. Abraham Stephen Campos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Dr. Richard Emil Martin, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0891 |