| Mark F Ludes, DO | |
| 
					1216 Ryans Rd, Worthington, MN 56187-1722  | |
| (507) 372-2921 | |
| (507) 372-5789 | 
| Full Name | Mark F Ludes | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 1216 Ryans Rd, Worthington, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316032758 | NPI | - | NPPES | 
| 1916122 | Medicaid | IA | |
| 125698 | Other | MN | UCARE | 
| 54A06LU | Other | MN | BCBS MPIN | 
| 370011044 | Other | MN | RR MEDICARE | 
| 863717200 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 40058 (Minnesota) | Primary | 
| Entity Name | Avera Mckennan | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1093262131 PECOS PAC ID: 0345157103 Enrollment ID: O20040109001102  | 
| Entity Name | Rural Health Care Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mark F Ludes, DO 1216 Ryans Rd, Worthington, MN 56187-1722 Ph: (507) 372-2921  | Mark F Ludes, DO 1216 Ryans Rd, Worthington, MN 56187-1722 Ph: (507) 372-2921  | 
Krzysztof Piotr Dygulski, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789  | |
Bassel Bardan, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1216 Ryans Rd, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-5789  | |
Lisa K Gerdes, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 508 Tenth Street, Worthington, MN 56187 Phone: 507-372-2921 Fax: 507-372-1815  |