| Jeremiah Dagel, PA | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| Not Available |
| Full Name | Jeremiah Dagel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 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 |
|---|---|---|---|
| 1366802290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2390 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 12019 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Range Regional Health Services | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Range Regional Health Services | 8022920024 | 349 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| Entity Name | Select Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952063158 PECOS PAC ID: 1658762646 Enrollment ID: O20211230000768 |
| Entity Name | Welia Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227 |
| Entity Name | MN UC Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871265074 PECOS PAC ID: 8729461421 Enrollment ID: O20220812001558 |
| 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 |
|---|---|
| Jeremiah Dagel, PA Po Box 6001, Fargo, ND 58108-6001 Ph: (701) 364-8000 | Jeremiah Dagel, PA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
Ms. Sharon Lynn Bolar, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14490 E Fox Lake Rd, Detroit Lakes, MN 56501 Phone: 218-844-2295 |
Claire Wolhowe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2300 |
Jennifer K Lessman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave S, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 |
Kurtis K Motschenbacher, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |
Spencer Oen, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 |
Vonda Eidenschink, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |
Janelle L Kyllo Bouchie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 |