Dr Elena Ivanova, DO | |
1300 Anne St Nw, Bemidji, MN 56601-5103 | |
(763) 210-9808 | |
Not Available |
Full Name | Dr Elena Ivanova |
---|---|
Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1300 Anne St Nw, Bemidji, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770160889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 78105 (Minnesota) | Primary |
Entity Name | White County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053662890 PECOS PAC ID: 4880688654 Enrollment ID: O20130510000018 |
Mailing Address | Practice Location Address |
---|---|
Dr Elena Ivanova, DO 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (763) 210-9808 | Dr Elena Ivanova, DO 1300 Anne St Nw, Bemidji, MN 56601-5103 Ph: (763) 210-9808 |
Chad Erickson, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 800 Bemidji Ave N, Bemidji, MN 56601 Phone: 218-308-2400 Fax: 651-431-7530 | |
Zabrina Ebert, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1705 Anne St Nw, Bemidji, MN 56601 Phone: 218-751-3280 | |
Dr. Ross E. Pettit, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1233 34th St Nw, Bemidji, MN 56601 Phone: 218-333-4968 |