| Dr Kourtney N Bradford Houle, MD | |
|
1301 33rd Street South, St. Cloud Medical Group, Saint Cloud, MN 56301 | |
| (320) 240-2170 | |
| Not Available |
| Full Name | Dr Kourtney N Bradford Houle |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 18 Years |
| Location | 1301 33rd Street South, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720238835 | NPI | - | NPPES |
| 1720238835 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20303 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simplicity Health Pa | 1557617354 | 15 |
| Entity Name | Simplicity Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780186486 PECOS PAC ID: 1557617354 Enrollment ID: O20180710001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kourtney N Bradford Houle, MD 1301 33rd Street South, St. Cloud Medical Group, Saint Cloud, MN 56301 Ph: (320) 240-2170 | Dr Kourtney N Bradford Houle, MD 1301 33rd Street South, St. Cloud Medical Group, Saint Cloud, MN 56301 Ph: (320) 240-2170 |
Steven Danielson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Fariha Furqan Qureshi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 | |
Dr. Crispin Rabara Domingo Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-355-6359 | |
Dr. Bartley Brandon Mueller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-202-8949 Fax: 320-202-0756 | |
Steven Weno, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Jennifer Ann Tarpenning, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 | |
Richard L Rysavy, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |