Katie Hinderaker, MD | |
500 W Grant St, Lake City, MN 55041-1143 | |
(651) 345-3321 | |
Not Available |
Full Name | Katie Hinderaker |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 500 W Grant St, Lake City, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548615255 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 62852 (Minnesota) | Primary |
Entity Name | Mayo Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
Entity Name | Mayo Clinic Health System-lake City |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Entity Name | University Of Minnesota Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
Entity Name | Mayo Clinic Health System-lake City |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Katie Hinderaker, MD 580 Rice St, Saint Paul, MN 55103-2148 Ph: (651) 227-6551 | Katie Hinderaker, MD 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 |
Dennis Charles Spano, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 Fax: 651-345-1151 | |
Trent D Anderson, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Jessica M Storlie, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Robert A Taylor, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-364-5600 | |
Douglas David Pflaum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 W Doughty St, Lake City, MN 55041 Phone: 651-345-2350 Fax: 651-345-2238 | |
Mootaz Subhi Said Younis, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 |