Mr Keon Idris Griffie, FNP | |
712 S Cascade St, Fergus Falls, MN 56537-2913 | |
(903) 691-3694 | |
Not Available |
Full Name | Mr Keon Idris Griffie |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 712 S Cascade St, Fergus Falls, 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 |
---|---|---|---|
1851857833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | AP136967 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake Region Healthcare Corporation | 3971565334 | 114 |
Entity Name | Prairie Ridge Hospital And Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
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 |
---|---|
Mr Keon Idris Griffie, FNP 7 Timberlane St, Texarkana, TX 75501-9521 Ph: (903) 691-3694 | Mr Keon Idris Griffie, FNP 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (903) 691-3694 |
Sheryl Olson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-5501 | |
Alena Storlie, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Rebecca Rae Boesl, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Joel Justin Anderson, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2311 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-739-8600 | |
Katie Martin, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Marie Braaten, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Amy J Fisher, MAN RN CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-739-2221 |