| Dr Eric Ryan Fenstad, MD, MSC | |
|
2024 S 6th St, Brainerd, MN 56401-4529 | |
| (218) 855-5280 | |
| Not Available |
| Full Name | Dr Eric Ryan Fenstad |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 17 Years |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043476732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 51907 (Minnesota) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 51907 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Duluth Clinic Ltd | 2567374283 | 957 |
| St Josephs Medical Center | 8224948443 | 226 |
| 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 | St Marys Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457393035 PECOS PAC ID: 6901706357 Enrollment ID: O20040112000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Eric Ryan Fenstad, MD, MSC 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Dr Eric Ryan Fenstad, MD, MSC 2024 S 6th St, Brainerd, MN 56401-4529 Ph: (218) 855-5280 |
Christa A Eickhoff, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 Fax: 218-828-2892 | |
Dr. Vishnuteja V Devalla, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Paul Milloy, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100 | |
Hong Li, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Dr. Tyler John Dunphy, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Ronald Halvorson, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 9919 Cove Pointe Rd, Brainerd, MN 56401 Phone: 218-828-7100 |