Central Minnesota Dermatology, Pa | |
415 Barclay Ave Pine River MN 56474-1603 | |
(218) 454-3376 | |
(218) 454-4263 |
Full Name | Central Minnesota Dermatology, Pa |
---|---|
Speciality | Clinic/Center |
Location | 415 Barclay Ave, Pine River, Minnesota |
Authorized Official Name and Position | Kristina Britton (PRESIDENT) |
Authorized Official Contact | 2188318388 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Central Minnesota Dermatology, Pa 1903 S 6th St Ste 3 Brainerd MN 56401-4599 Ph: (218) 454-3376 | Central Minnesota Dermatology, Pa 415 Barclay Ave Pine River MN 56474-1603 Ph: (218) 454-3376 |
NPI Number | 1285220079 |
---|---|
Provider Enumeration Date | 12/15/2020 |
Last Update Date | 04/26/2021 |
Medicare PECOS PAC ID | 4486069176 |
---|---|
Medicare Enrollment ID | O20210210000821 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285220079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kristina Marie Britton |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1982831889 PECOS PAC ID: 7214176015 Enrollment ID: I20130626000409 |
Provider Name | Lindsay Rae Fry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689275042 PECOS PAC ID: 1153732748 Enrollment ID: I20230504002139 |
Essentia Health St. Joseph's-pine River Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Barclay Ave W, Pine River, MN 56474 Phone: 218-587-4416 Fax: 218-587-2677 |