| Audrey Mie Park-skinner, | |
|
400 E 3rd St, Duluth, MN 55805-1951 | |
| (218) 786-8364 | |
| Not Available |
| Full Name | Audrey Mie Park-skinner |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 40 Years |
| Location | 400 E 3rd St, Duluth, 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 |
|---|---|---|---|
| 1083647499 | NPI | - | NPPES |
| 31795100 | Medicaid | WI | |
| 616700400 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35484 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | Deer River Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428 |
| Entity Name | Deer River Healthcare Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20061104000444 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey Mie Park-skinner, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Audrey Mie Park-skinner, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 |
Dustin Dean Lucarelli, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St Ste P302, Duluth, MN 55805 Phone: 218-262-4881 | |
Jay Oliver Lenz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-1234 | |
Steven Duane Eyer, Surgery Medicare: Not Enrolled in Medicare Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Stephen James Huddleston, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St, Ste. P303, Duluth, MN 55805 Phone: 218-249-6050 Fax: 218-240-6055 | |
Dr. Steven John Skube, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5439 | |
Dr. Mark A Monte, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 920 E 1st St, Ste P302, Duluth, MN 55805 Phone: 218-249-6050 |