Katie L Tanner, PA | |
819 Main St, Lisbon, ND 58054-4244 | |
(701) 683-4134 | |
(701) 683-4094 |
Full Name | Katie L Tanner |
---|---|
Gender | Female |
Speciality | Physician Assistant |
Experience | 31 Years |
Location | 819 Main St, Lisbon, North Dakota |
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 |
---|---|---|---|
1225013634 | NPI | - | NPPES |
05171 | Medicaid | ND | |
19659 | Other | ND | NDBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PAC0102 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Home Care Fargo | Fargo, ND | Home health agency |
Chi Health At Home | Valley city, ND | Home health agency |
Chi Health At Home | Breckenridge, MN | Home health agency |
Hospice Of Red River Valley | Fargo, ND | Hospice |
Chi Health At Home | Valley city, ND | Hospice |
Essentia Health | Fargo, ND | Hospital |
Lisbon Area Health Services | Lisbon, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Innovis Health Llc | 9931298155 | 478 |
Mailing Address | Practice Location Address |
---|---|
Katie L Tanner, PA 400 E 3rd St, Duluth, MN 55805-1951 Ph: () - | Katie L Tanner, PA 819 Main St, Lisbon, ND 58054-4244 Ph: (701) 683-4134 |
Bruce D Larson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094 | |
Mr. Brent Michael Buchholz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 905 Main St, Lisbon, ND 58054 Phone: 701-683-6400 Fax: 701-683-4345 | |
Stacey Maria Walton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 9th Ave E, Lisbon, ND 58054 Phone: 701-683-4711 Fax: 701-683-3205 |