| Dr Vishnuteja V Devalla, MD | |
|
2024 S 6th St, Brainerd, MN 56401-4529 | |
| (218) 828-7100 | |
| Not Available |
| Full Name | Dr Vishnuteja V Devalla |
|---|---|
| Gender | Male |
| Speciality | Rheumatology |
| Experience | 9 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 |
|---|---|---|---|
| 1063874881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 69257 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Duluth | Duluth, MN | Hospital |
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Memorial Medical Center | Ashland, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| 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 | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200728000758 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Entity Name | Welia Health |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20210722002959 |
| Entity Name | Welia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vishnuteja V Devalla, MD 1740 Lakeview Dr, Duluth, MN 55803-2548 Ph: (218) 880-1115 | Dr Vishnuteja V Devalla, MD 2024 S 6th St, Brainerd, MN 56401-4529 Ph: (218) 828-7100 |
Christa A Eickhoff, M.D. Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 Fax: 218-828-2892 | |
Dr. Eric Ryan Fenstad, M.D., MSC Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5280 | |
Paul Milloy, Rheumatology Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-825-7100 | |
Hong Li, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Dr. Tyler John Dunphy, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Ronald Halvorson, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 9919 Cove Pointe Rd, Brainerd, MN 56401 Phone: 218-828-7100 |