Kathryn A Mell, MD | |
614 Michigan Ave W, Walker, MN 56484-2276 | |
(218) 547-7700 | |
(218) 547-7729 |
Full Name | Kathryn A Mell |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 14 Years |
Location | 614 Michigan Ave W, Walker, 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 |
---|---|---|---|
1508186362 | NPI | - | NPPES |
MD1542 | Medicaid | AK | |
1508186362 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 5628 (Alaska) | Secondary |
207Q00000X | Family Medicine | 57000 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Health Of Northern Minnesota | 5597725168 | 284 |
Entity Name | Sanford Health Of Northern Minnesota |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
Mailing Address | Practice Location Address |
---|---|
Kathryn A Mell, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kathryn A Mell, MD 614 Michigan Ave W, Walker, MN 56484-2276 Ph: (218) 547-7700 |
William M Petersen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 614 Michigan Ave, Walker, MN 56484 Phone: 218-547-3938 Fax: 218-547-3922 | |
Thomas Grant Krumme, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Michigan Ave W, Walker, MN 56484 Phone: 218-547-3452 | |
Thomas P Haas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 614 Michigan Ave W, Walker, MN 56484 Phone: 218-547-3938 |