Ronn E Mcdaniel, OD | |
128 2nd St Nw, Ortonville, MN 56278-1409 | |
(320) 839-3413 | |
Not Available |
Full Name | Ronn E Mcdaniel |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 33 Years |
Location | 128 2nd St Nw, Ortonville, 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 |
---|---|---|---|
1134271323 | NPI | - | NPPES |
5C857MC | Other | MN | BLUE CROSS BLUE SHIELD |
848152100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2619 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Phs Indian Hospital At Rosebud | Rosebud, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rosebud Indian Health Service | 6901704055 | 49 |
Provider Name | Rosebud Indian Health Service |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194757369 PECOS PAC ID: 6901704055 Enrollment ID: O20031226000337 |
Provider Name | Pine Ridge Indian Health Service Hospital |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003963497 PECOS PAC ID: 7214825371 Enrollment ID: O20040309001203 |
Mailing Address | Practice Location Address |
---|---|
Ronn E Mcdaniel, OD 100 Lake Traverse Dr, Sisseton, SD 57262-7046 Ph: (605) 742-3620 | Ronn E Mcdaniel, OD 128 2nd St Nw, Ortonville, MN 56278-1409 Ph: (320) 839-3413 |
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