| Dianne M Kendall, MD | |
|
523 N 3rd St, Brainerd, MN 56401-3054 | |
| (218) 829-2861 | |
| (218) 828-7611 |
| Full Name | Dianne M Kendall |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 30 Years |
| Location | 523 N 3rd St, Brainerd, 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 |
|---|---|---|---|
| 1619945458 | NPI | - | NPPES |
| 450059800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 42419 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Essentia Health Duluth | Duluth, MN | Hospital |
| Memorial Medical Center | Ashland, WI | 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 | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Entity Name | Brainerd Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295801777 PECOS PAC ID: 0648270272 Enrollment ID: O20070105000140 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne M Kendall, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 | Dianne M Kendall, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 |
Thomas C Ortmeier, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Dr. J Frederick Hall, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 Fax: 218-828-7510 |