| Mckenna Anne Taylor, | |
|
520 Chautauqua Blvd, Valley City, ND 58072-3145 | |
| (701) 845-6000 | |
| Not Available |
| Full Name | Mckenna Anne Taylor |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 1 Years |
| Location | 520 Chautauqua Blvd, Valley City, North Dakota |
| 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 |
|---|---|---|---|
| 1265239073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PAC1168 (North Dakota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sanford | Fargo, ND | Hospital |
| Chi Mercy Health | Valley city, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Mckenna Anne Taylor, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: Not Available | Mckenna Anne Taylor, 520 Chautauqua Blvd, Valley City, ND 58072-3145 Ph: (701) 845-6000 |
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 |
Mark W Klabo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 570 Chautauqua Blvd, Valley City, ND 58072 Phone: 701-845-6400 Fax: 701-845-6466 |
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 |
Jay Alan Determan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 855 12th St Nw Apt 206, Valley City, ND 58072 Phone: 605-830-0603 |
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 |