Heather A Kiebke, DPT | |
1245 Washington Ave, Detroit Lakes, MN 56501 | |
(218) 846-2000 | |
Not Available |
Full Name | Heather A Kiebke |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 19 Years |
Location | 1245 Washington Ave, Detroit Lakes, 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 |
---|---|---|---|
1144265513 | NPI | - | NPPES |
778237 | Other | ND | AMERICA'S PPO/ARAZ # |
DA9011040527 | Other | ND | PREFERRED ONE # |
ND400023 | Other | ND | LHS # |
18166 | Other | MN | NDBS # |
74G75SO | Other | ND | MNBS # |
17701 | Other | ND | NDBS # |
6404053 | Other | ND | MEDICA # |
1144265513 | Medicaid | MN | |
HP38646 | Other | ND | HEALTHPARTNERS # |
72D46SO | Other | MN | MNBS # |
00F70SO | Other | ND | MNBS # |
17702 | Other | ND | NDBS # |
58998 | Medicaid | ND | |
6401666 | Other | ND | MEDICA # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 6245 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sanford Medical Center Fargo | 8426967803 | 1085 |
Provider Name | Sanford Clinic North |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1548532468 PECOS PAC ID: 4284546151 Enrollment ID: O20031209000264 |
Provider Name | Sanford Medical Center Fargo |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
Mailing Address | Practice Location Address |
---|---|
Heather A Kiebke, DPT 2510 Cherry Hill Dr, Detroit Lakes, MN 56501-8063 Ph: (701) 640-8645 | Heather A Kiebke, DPT 1245 Washington Ave, Detroit Lakes, MN 56501 Ph: (218) 846-2000 |
Nicole Mazour, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Kelsey Wilberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Monica Kemper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Beth Sternhagen, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Leah R Pettit, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 | |
Patricia Marie Stalberger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501 Phone: 218-844-7119 |