| Maneesh C Kanal, MD | |
|
323 S Minnesota St, Crookston, MN 56716 | |
| (218) 281-9293 | |
| Not Available |
| Full Name | Maneesh C Kanal |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 323 S Minnesota St, Crookston, Minnesota |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700271012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 63484 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 63484 (Minnesota) | Secondary |
| 207R00000X | Internal Medicine | 63484 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera Granite Falls | Granite falls, MN | Hospital |
| Avera Tyler Hospital | Tyler, MN | Hospital |
| Riverview Hospital | Crookston, MN | Hospital |
| Avera Marshall Regional Medical Center | Marshall, MN | Hospital |
| Avera Heart Hospital Of South Dakota | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera Tyler | 9638088537 | 15 |
| Avera Granite Falls | 1456784560 | 15 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Entity Name | Avera Marshall |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20091209000435 |
| Entity Name | Avera Tyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840517 PECOS PAC ID: 9638088537 Enrollment ID: O20170630001868 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1700429610 PECOS PAC ID: 1456784560 Enrollment ID: O20191204000103 |
| Entity Name | Avera Granite Falls |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700429644 PECOS PAC ID: 1456784560 Enrollment ID: O20200106000646 |
| Mailing Address | Practice Location Address |
|---|---|
| Maneesh C Kanal, MD 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9293 | Maneesh C Kanal, MD 323 S Minnesota St, Crookston, MN 56716 Ph: (218) 281-9293 |
Theodore S Olson, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 |
Comfort Oluwashola Olayioye, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 |
James Dean Brosseau, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 400 S Minnesota St - Altru Clinic/crookston, Crookston, MN 56716 Phone: 218-281-9100 |
Israel Mostafa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 |
David Fernando Frugone Larrea, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 South Minnesota Street, Crookston, MN 56716 Phone: 218-281-9100 |