| Darla J Wrage, MD | |
| 1421 Premier Dr, Mankato, MN 56001-6076 | |
| (507) 625-1811 | |
| Not Available | 
| Full Name | Darla J Wrage | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 1421 Premier Dr, Mankato, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225032980 | NPI | - | NPPES | 
| 34266800 | Medicaid | WI | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 44552 (Wisconsin) | Secondary | 
| 208000000X | Pediatrics | 40206 (Minnesota) | Primary | 
| Entity Name | Mankato Clinic Ltd | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Darla J Wrage, MD 1230 E Main St, Po Box 8674, Mankato, MN 56001-5066 Ph: (507) 625-1811 | Darla J Wrage, MD 1421 Premier Dr, Mankato, MN 56001-6076 Ph: (507) 625-1811 | 
| Dr. Manasa Karumuri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4700 | |
| Krista Hemmesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
| Matthew Gunars Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4863 | |
| Kenneth C Weimer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
| Dr. Rachel L. Singh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
| Ebtihal Ahmed Mohamed Ahmed, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |