Dr Vicki L Anderson, MD | |
512 Skyline Blvd, Cloquet, MN 55720-1199 | |
(218) 879-4641 | |
(218) 879-8904 |
Full Name | Dr Vicki L Anderson |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 512 Skyline Blvd, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972685394 | NPI | - | NPPES |
550T0AN | Other | MN | BLUES & FIRST PLAN |
0119768 | Other | MN | MEDICA |
204287800 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22662 (Minnesota) | Primary |
Entity Name | Community Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
Mailing Address | Practice Location Address |
---|---|
Dr Vicki L Anderson, MD 512 Skyline Blvd, Cloquet, MN 55720-1199 Ph: (218) 879-4641 | Dr Vicki L Anderson, MD 512 Skyline Blvd, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
Ali Reza Arbabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Mr. Arne Vainio, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136 | |
Dr. Darla J Vanheerde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-9617 | |
Stephen M Bockhold, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Kenneth M Ripp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Dr. Shelly A Breyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Shannon Jean Wesley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720 Phone: 218-879-4641 |