| Shivan Kulasingham, MD | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Shivan Kulasingham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 1027 Washington Ave, Detroit Lakes, 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 |
|---|---|---|---|
| 1558318428 | NPI | - | NPPES |
| 0403132 | Other | MN | MEDICA # |
| DA9031026977 | Other | MN | PREFERRED ONE # |
| 20796 | Other | MN | NDBS # |
| 619745100 | Medicaid | MN | |
| 1517801 | Other | MN | AMERICA'S PPO/ARAZ # |
| HP38423 | Other | MN | HEALTHPARTNERS # |
| 11620 | Medicaid | MN | |
| MN10224701 | Other | MN | LHS/BANNERHEALTH # |
| 142026 | Other | MN | UCARE # |
| 43G20KU | Other | MN | MNBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43532 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Home Care West | Detroit lakes, MN | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Essentia Health | Fargo, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Essentia Health Ada | Ada, MN | Hospital |
| Perham Health | Perham, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Shivan Kulasingham, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Shivan Kulasingham, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Hallie Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Stephen P Nordmark, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Nicole Marie Cox, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 | |
Meenakshi Punj, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-844-2444 |