Nicholas Brian Vidor, MD | |
20 5th St Se, Cook, MN 55723-9702 | |
(218) 666-5102 | |
Not Available |
Full Name | Nicholas Brian Vidor |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 13 Years |
Location | 20 5th St Se, Cook, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063704914 | NPI | - | NPPES |
1063704914 | Medicaid | MN | |
0001-0100257 | Other | MEDICA | |
1063704914 | Other | MN | BCBS |
P01099801 | Other | MN | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 55493 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cook Hospital | Cook, MN | Hospital |
University Medical Center-mesabi/ Mesaba Clinics | Hibbing, MN | Hospital |
St Lukes Hospital | Duluth, MN | Hospital |
Essentia Health Virginia | Virginia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cook Area Health Services, Inc | 4880681303 | 26 |
Entity Name | Duluth Graduate Medical Education Council Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972585867 PECOS PAC ID: 4385545953 Enrollment ID: O20040116000311 |
Entity Name | Cook Area Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
Entity Name | Cook Area Health Services, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508443847 PECOS PAC ID: 4880681303 Enrollment ID: O20211220002006 |
Mailing Address | Practice Location Address |
---|---|
Nicholas Brian Vidor, MD 20 5th St Se, Cook, MN 55723-9702 Ph: () - | Nicholas Brian Vidor, MD 20 5th St Se, Cook, MN 55723-9702 Ph: (218) 666-5102 |
Harold D Johnston, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Medical, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Dr. Bruce David Garbisch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 Fax: 218-666-5099 | |
Dr. Fred Lawrence Webber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 | |
Lynne M Didrikson I, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 20 5th St Se, Cook, MN 55723 Phone: 218-666-5941 |