| 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 | Internal Medicine - Rheumatology |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063874881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RR0500X | Internal Medicine - Rheumatology | 69257 (Minnesota) | Primary |
| 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 | 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: Medicare Enrolled Practice Location: 9919 Cove Pointe Rd, Brainerd, MN 56401 Phone: 218-828-7100 |
Mrs. Linda Tigenoah, MD Rheumatology Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 |