Alyssa Lea Manning, NP | |
49725 County 83, Staples, MN 56479-5280 | |
(218) 894-1515 | |
(218) 894-8767 |
Full Name | Alyssa Lea Manning |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 20 Years |
Location | 49725 County 83, Staples, 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 |
---|---|---|---|
1477574697 | NPI | - | NPPES |
138457100 | Medicaid | MN | |
19763 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R27887 (North Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 1481 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakewood Health System | Staples, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakewood Health System | 1052229671 | 78 |
Entity Name | Lakewood Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
Entity Name | Lake Region Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Lea Manning, NP 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 | Alyssa Lea Manning, NP 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Kelly Vanvickle, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 | |
Chelsey Lee Olander, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Jessica A Nybakken, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 | |
Corey James Robinson, RN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 | |
Amber Rasinski, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 Prairie Ave Ne, Staples, MN 56479 Phone: 218-894-1515 | |
Lisa Mary Smeby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |