| Dr Benjamin Cody Dexter, MD | |
|
1421 Premier Dr, Mankato, MN 56001-6076 | |
| (507) 625-1811 | |
| Not Available |
| Full Name | Dr Benjamin Cody Dexter |
|---|---|
| Gender | Male |
| 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 |
|---|---|---|---|
| 1982016176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 582WW1773 (Iowa) | Secondary |
| 208000000X | Pediatrics | 61527 (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 |
|---|---|
| Dr Benjamin Cody Dexter, MD 1230 E Main Street, Po Box 8674, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Dr Benjamin Cody Dexter, 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 | |
Darla J Wrage, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1421 Premier Dr, Mankato, MN 56001 Phone: 507-625-1811 | |
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 |