| Shivali Devgon, MD | |
|
711 Delmore Dr, Roseau, MN 56751-1534 | |
| (218) 463-1365 | |
| (218) 463-3928 |
| Full Name | Shivali Devgon |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 16 Years |
| Location | 711 Delmore Dr, Roseau, 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 |
|---|---|---|---|
| 1154632503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 56155 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifecare Medical Center | Roseau, MN | Home health agency |
| Lifecare Medical Center | Roseau, MN | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Lifecare Roseau Manor | Roseau, MN | Nursing home |
| Lifecare Medical Center | Roseau, MN | Nursing home |
| Warroad Care Center | Warroad, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Altru Health System | 1355251604 | 675 |
| Lifecare Medical Center | 4789586884 | 55 |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760494330 PECOS PAC ID: 1355251604 Enrollment ID: O20031110000135 |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20040121000061 |
| Entity Name | Lifecare Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609861095 PECOS PAC ID: 4789586884 Enrollment ID: O20061104000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivali Devgon, MD 711 Delmore Dr, Roseau, MN 56751-1534 Ph: (218) 463-1365 | Shivali Devgon, MD 711 Delmore Dr, Roseau, MN 56751-1534 Ph: (218) 463-1365 |