| Ryan Mark Harden, MD | |
|
204 Lundorff Dr, Sandstone, MN 55072-5051 | |
| (320) 245-2250 | |
| (320) 245-2555 |
| Full Name | Ryan Mark Harden |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 204 Lundorff Dr, Sandstone, 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 |
|---|---|---|---|
| 1295957116 | NPI | - | NPPES |
| P00438361 | Other | RR MEDICARE PTAN | |
| 744153000 | Medicaid | MN | |
| 35P56HA | Other | MN | BCBS |
| 01-28054 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49738 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adara Home Health Inc | Buffalo, MN | Home health agency |
| Mercy Home Health Agency | Moose lake, MN | Home health agency |
| Essentia Health Moose Lake | Moose lake, MN | Hospital |
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Sandstone Health Care Center | Sandstone, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gateway Family Health Clinic, Ltd. | 6305758657 | 18 |
| Entity Name | Gateway Family Health Clinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Mark Harden, MD 204 Lundorff Dr, Sandstone, MN 55072-5051 Ph: (320) 245-2250 | Ryan Mark Harden, MD 204 Lundorff Dr, Sandstone, MN 55072-5051 Ph: (320) 245-2250 |
Dr. Daniel P. Benzie, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Mark H Petry, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 | |
Nick M. Taurinskas, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 204 Lundorff Dr, Sandstone, MN 55072 Phone: 320-245-2250 Fax: 320-245-2555 |