| Vidu Bala Mokkala, MD | |
|
550 Osborne Rd Ne, Fridley, MN 55432-2718 | |
| (763) 236-3518 | |
| Not Available |
| Full Name | Vidu Bala Mokkala |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 23 Years |
| Location | 550 Osborne Rd Ne, Fridley, 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 |
|---|---|---|---|
| 1396918207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 52840 (Minnesota) | Primary |
| 174400000X | Specialist | 207R00000X (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Mother Of Mercy Senior Living | Albany, MN | Nursing home |
| Aitkin Health Services | Aitkin, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3584 |
| Twin Cities Physicians Professional Corporation | 9830499763 | 48 |
| Allina Health System | 4587573613 | 3584 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Minnesota Valley Health Center Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20061104000638 |
| Entity Name | Twin Cities Physicians Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992176499 PECOS PAC ID: 9830499763 Enrollment ID: O20151130000202 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Vidu Bala Mokkala, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: () - | Vidu Bala Mokkala, MD 550 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-3518 |
Dr. Theodore A Longinow, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-5000 | |
Dr. Reuben Nicholas Lubka, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6341 University Ave Ne, Fridley, MN 55432 Phone: 763-572-5710 Fax: 763-586-5888 | |
Eleanor Mariano Beltran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 7675 Madison St Ne, Fridley, MN 55432 Phone: 763-785-4500 Fax: 763-785-3314 | |
Maria Dana Tudor, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne, Suite 100, Fridley, MN 55432 Phone: 763-785-4500 Fax: 763-785-3329 | |
Joudat I. Yazigi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-3518 | |
Uzma Ali, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne, Suite 220, Fridley, MN 55432 Phone: 763-786-1620 Fax: 763-780-3099 | |
Dr. Dorothy L Uhlman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Road, Suite 215, Fridley, MN 55432 Phone: 763-786-1620 Fax: 763-780-2624 |