| Dr Atul K Mishra, MD | |
|
1420 East College Drive, Marshall, MN 56258 | |
| (507) 532-9631 | |
| (507) 532-1176 |
| Full Name | Dr Atul K Mishra |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1420 East College Drive, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013984483 | NPI | - | NPPES |
| 573877600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 35763 (Minnesota) | Primary |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Atul K Mishra, MD 1521 Carlson St, Marshall, MN 56258-2626 Ph: (507) 532-1101 | Dr Atul K Mishra, MD 1420 East College Drive, Marshall, MN 56258 Ph: (507) 532-9631 |
Dr. Mary Arndt Hagan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Avera Marshall, Marshall, MN 56258 Phone: 507-537-9007 Fax: 507-537-2720 | |
Jonna Ann Maas, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 Fax: 507-537-9053 |