Amanda Marie Dornhecker, DPT | |
927 Trettel Ln, Cloquet, MN 55720-1345 | |
(218) 879-1227 | |
Not Available |
Full Name | Amanda Marie Dornhecker |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 3 Years |
Location | 927 Trettel Ln, Cloquet, 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 |
---|---|---|---|
1245907195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 12373 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fond Du Lac Reservation Business Committee | 6608775879 | 35 |
Provider Name | Fond Du Lac Reservation Business Committee |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308 |
Provider Name | Park Avenue Therapies |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437127834 PECOS PAC ID: 2264413467 Enrollment ID: O20040525000757 |
Mailing Address | Practice Location Address |
---|---|
Amanda Marie Dornhecker, DPT 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227 | Amanda Marie Dornhecker, DPT 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227 |
Joseph Urban Quade, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Stephanie Ann Elling, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 | |
Danielle Prom, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 701 Horizon Cir, Cloquet, MN 55720 Phone: 218-879-6956 | |
Kathryn Dorothy Roufs, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 | |
Kelly Lynn Burgner, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 | |
Park Avenue Therapies Physical Therapist Medicare: Medicare Enrolled Practice Location: 1204 Cloquet Ave, Cloquet, MN 55720 Phone: 218-878-0805 Fax: 218-878-0794 |