| Nicholas Brian Vidor, MD | |
|
1101 9th St N, Virginia, MN 55792-2329 | |
| (218) 305-0000 | |
| Not Available |
| Full Name | Nicholas Brian Vidor |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1101 9th St N, Virginia, 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 |
|---|---|---|---|
| 1063704914 | NPI | - | NPPES |
| 1063704914 | Medicaid | MN | |
| 0001-0100257 | Other | MEDICA | |
| 1063704914 | Other | MN | BCBS |
| P01099801 | Other | MN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 55493 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cook Hospital | Cook, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cook Area Health Services, Inc | 4880681303 | 24 |
| Entity Name | Duluth Graduate Medical Education Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972585867 PECOS PAC ID: 4385545953 Enrollment ID: O20040116000311 |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174596027 PECOS PAC ID: 4880681303 Enrollment ID: O20040427001470 |
| Entity Name | Cook Area Health Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508443847 PECOS PAC ID: 4880681303 Enrollment ID: O20211220002006 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Brian Vidor, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Nicholas Brian Vidor, MD 1101 9th St N, Virginia, MN 55792-2329 Ph: (218) 305-0000 |
Lisa Ann Seeber, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Brenda Lee Cary, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th Street North, Duluth Clinic - Virginia, Virginia, MN 55792 Phone: 218-741-0150 Fax: 715-588-7884 | |
Alexis White, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-786-8364 | |
Dr. Ramesh Kumar Tentu, MBBS Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Essentia Health Virginia Clinic, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Stephen Andrew Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1101 9th St N, Virginia, MN 55792 Phone: 218-741-0150 | |
Dr. Robert Thomas Rutka, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 9th St N, Suite 115, Virginia, MN 55792 Phone: 218-748-7750 Fax: 218-742-8689 |