Ingrid Louisa Nisswandt-larsen, MD | |
4621 E Superior St, Duluth, MN 55804-2338 | |
(218) 786-3550 | |
Not Available |
Full Name | Ingrid Louisa Nisswandt-larsen |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 39 Years |
Location | 4621 E Superior St, Duluth, 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 |
---|---|---|---|
1548351406 | NPI | - | NPPES |
922593500 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 32323 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ecumen Home Care - Lakeshore | Duluth, MN | Home health agency |
Essentia Health St Marys Hospice & Palliative Care | Duluth, MN | Hospice |
Essentia Health Duluth | Duluth, MN | Hospital |
St Marys Hospital Superior | Superior, WI | Hospital |
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
Bayshore Residence & Rehab Ctr | Duluth, MN | Nursing home |
Superior Rehabilitation Center Llc | Superior, WI | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Duluth Clinic Ltd | 2567374283 | 949 |
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
St Marys Hospital Of Superior | 8628964228 | 76 |
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 |
Mailing Address | Practice Location Address |
---|---|
Ingrid Louisa Nisswandt-larsen, MD 4621 E Superior St, Duluth, MN 55804-2338 Ph: (218) 786-3550 | Ingrid Louisa Nisswandt-larsen, MD 4621 E Superior St, Duluth, MN 55804-2338 Ph: (218) 786-3550 |
Dr. Kylie Elizabeth Kraft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Steven Peter Phillipson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4621 E Superior St, Duluth, MN 55804 Phone: 218-786-3550 Fax: 218-525-7487 | |
Dr. Jennifer Lynn Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 221-872-3111 Fax: 218-529-9120 | |
Dr. Eric David Boehmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joseph Christopher Metzger Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Ms. Kayla Jean Olds, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1414 Woodland Ave, Duluth, MN 55803 Phone: 218-302-1000 | |
Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103 |