| Kathryn A Mell, MD | |
|
614 Michigan Ave W, Walker, MN 56484-2276 | |
| (218) 547-7700 | |
| (218) 547-7729 |
| Full Name | Kathryn A Mell |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 614 Michigan Ave W, Walker, 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 |
|---|---|---|---|
| 1508186362 | NPI | - | NPPES |
| MD1542 | Medicaid | AK | |
| 1508186362 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5628 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | 57000 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Grand Itasca Clinic And Hospital | 8123939550 | 263 |
| Entity Name | Grand Itasca Clinic And Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Sanford Health Of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn A Mell, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Kathryn A Mell, MD 614 Michigan Ave W, Walker, MN 56484-2276 Ph: (218) 547-7700 |
William M Petersen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 614 Michigan Ave, Walker, MN 56484 Phone: 218-547-3938 Fax: 218-547-3922 | |
Thomas Grant Krumme, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Michigan Ave W, Walker, MN 56484 Phone: 218-547-3452 | |
Thomas P Haas, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 614 Michigan Ave W, Walker, MN 56484 Phone: 218-547-3938 |