| Mark W Klabo, PA-C | |
|
570 Chautauqua Blvd, Valley City, ND 58072-3145 | |
| (701) 845-6400 | |
| (701) 845-6466 |
| Full Name | Mark W Klabo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 570 Chautauqua Blvd, Valley City, North Dakota |
| 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 |
|---|---|---|---|
| 1275793978 | NPI | - | NPPES |
| PAC0391 | Other | ND | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC0391 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Lisbon Health | Lisbon, ND | Hospital |
| Chi Oakes Hospital | Oakes, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Sanford | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lisbon Area Health Services | 4486562873 | 9 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1609872431 PECOS PAC ID: 4486562873 Enrollment ID: O20030918000039 |
| Entity Name | Mercy Hospital of Valley City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20040701000086 |
| Entity Name | Lisbon Area Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811168958 PECOS PAC ID: 4486562873 Enrollment ID: O20041008000975 |
| Entity Name | Oakes Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477724433 PECOS PAC ID: 3678484722 Enrollment ID: O20041008001150 |
| Entity Name | Mercy Hospital of Valley City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1477549111 PECOS PAC ID: 8729997564 Enrollment ID: O20070611000170 |
| Entity Name | Oakes Community Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1598848517 PECOS PAC ID: 3678484722 Enrollment ID: O20081001000099 |
| Entity Name | Medallus & Vacharothone Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710496310 PECOS PAC ID: 3072871276 Enrollment ID: O20180213000429 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Klabo, PA-C 570 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6400 | Mark W Klabo, PA-C 570 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6400 |
Judy L Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Krista Thielges Kjelland, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Jessica Gower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 |
Joan Lefor Stoltz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 |
Larry Alan Hendricks, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6000 Fax: 701-845-6150 |