Faith A Manty, APRN, CNP | |
4572 County Road 61, Moose Lake, MN 55767-9401 | |
(218) 485-4481 | |
(218) 485-5866 |
Full Name | Faith A Manty |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 4572 County Road 61, Moose Lake, 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 |
---|---|---|---|
1124218102 | NPI | - | NPPES |
894967000 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R 137363-9 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 722 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Moose Lake | Moose lake, MN | Hospital |
Community Memorial Hospital | Cloquet, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cromwell Medical Clinic Pllc | 5890861173 | 2 |
Entity Name | Cromwell Medical Clinic Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821250549 PECOS PAC ID: 5890861173 Enrollment ID: O20080910000613 |
Mailing Address | Practice Location Address |
---|---|
Faith A Manty, APRN, CNP 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 | Faith A Manty, APRN, CNP 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 |
Sonja M. Roach, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4570 County Highway 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Jonathan Franklin Klingaman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 | |
Genevieve M Swenson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724 | |
Keri Ann Ovsak, RN, MA, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 218-565-6240 | |
Mr. Gregory Raymond Larson, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015 |