| Dr Kenneth James Wright, MD | |
|
711 Delmore Dr - Altru Clinic/roseau, Roseau, MN 56751-1534 | |
| (218) 463-1365 | |
| (218) 463-3928 |
| Full Name | Dr Kenneth James Wright |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 711 Delmore Dr - Altru Clinic/roseau, Roseau, 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 |
|---|---|---|---|
| 1235174376 | NPI | - | NPPES |
| 5F528 | Other | AR | BCBS-MEDICAL PARK DRS GP |
| 146792001 | Medicaid | AR | |
| 160354002 | Medicaid | AR | |
| 5M277 | Other | AR | BCBS |
| 1460818 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD.15640R (Louisiana) | Secondary |
| 207Q00000X | Family Medicine | E3349 (Arkansas) | Secondary |
| 207Q00000X | Family Medicine | 46906 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dewitt Hospital And Nursing Home Inc | 2961307616 | 10 |
| Entity Name | Dewitt Hospital & Nursing Home Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972586238 PECOS PAC ID: 2961307616 Enrollment ID: O20040505001357 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth James Wright, MD 2401 Demers Ave, Grand Forks, ND 58201 Ph: (701) 780-1891 | Dr Kenneth James Wright, MD 711 Delmore Dr - Altru Clinic/roseau, Roseau, MN 56751-1534 Ph: (218) 463-1365 |
Luis G Jain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. David A Brett, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Amber Rose Dybdal Nielsen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Dr. Annabi I Djalo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 715 Delmore Dr, Roseau, MN 56751 Phone: 718-320-1950 | |
Robert J Anderson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 | |
Ralph H Herseth, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 711 Delmore Dr, Roseau, MN 56751 Phone: 218-463-1365 |