| Krystal Enger, PA-C | |
|
1027 Washington Ave, Detroit Lakes, MN 56501 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Krystal Enger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1027 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 |
|---|---|---|---|
| 1558791145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 3289 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 12748 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Home Care West | Detroit lakes, MN | Home health agency |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Essentia Health Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 190 |
| Rural Health Care Inc | 3476447541 | 156 |
| Sanford Health Of Northern Minnesota | 5597725168 | 349 |
| Sanford Health Of Northern Minnesota | 5597725168 | 349 |
| Lac Qui Parle Clinic Of Madison Inc | 5799727707 | 15 |
| Provider Name | St Marys Regional Health Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Provider Name | Sanford Health of Northern Minnesota |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Provider Name | Lac Qui Parle Clinic of Madison Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144266156 PECOS PAC ID: 5799727707 Enrollment ID: O20050531000484 |
| Provider Name | Madison Healthcare Services |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20061104000177 |
| Provider Name | Rural Health Care Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
| Provider Name | Madison Healthcare Services |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20160809000563 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Enger, PA-C 1702 University Dr S, Fargo, ND 58103-4940 Ph: Not Available | Krystal Enger, PA-C 1027 Washington Ave, Detroit Lakes, MN 56501 Ph: (218) 847-5611 |