| Kimberly M Dylla, CRNA | |
|
523 N 3rd St, Brainerd, MN 56401-3054 | |
| (218) 829-2861 | |
| Not Available |
| Full Name | Kimberly M Dylla |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 523 N 3rd St, Brainerd, 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 |
|---|---|---|---|
| 1730262098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA419 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Joseph's Medical Center | Brainerd, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regions Hospital | 3173436755 | 197 |
| Allina Health System | 4587573613 | 3584 |
| St Josephs Medical Center | 8224948443 | 226 |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Entity Name | Metropolitan Anesthesia Network Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558314427 PECOS PAC ID: 5698689123 Enrollment ID: O20031118000579 |
| Entity Name | St Josephs Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| 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 | Brainerd Lakes Surgery Center L L C |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1750378295 PECOS PAC ID: 5395782213 Enrollment ID: O20050412001404 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M Dylla, CRNA 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Kimberly M Dylla, CRNA 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861 |
Matthew Gary Mohrenweiser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Eugene Bernard Ristow, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Ms. Lori J. Brown, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Lawrance C Merck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-828-2861 | |
Miranda Lynn Boehm, APRN,CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Jesse Alan Lind, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 | |
Timothy Peter Klemmetsen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861 |