| Mickayla Nagel, | |
|
3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 | |
| (218) 681-4747 | |
| Not Available |
| Full Name | Mickayla Nagel |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255018545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2907 (Minnesota) | Primary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| 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 | Sanford Health Network North |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
| Entity Name | Sanford Health Network North |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1043218753 PECOS PAC ID: 8022206663 Enrollment ID: O20180222001872 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Mickayla Nagel, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Mickayla Nagel, 3001 Sanford Pkwy, Thief River Falls, MN 56701-2700 Ph: (218) 681-4747 |
Kent A Trontvet, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
John H Imsande, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1720 Highway 59 S, Thief River Falls, MN 56701 Phone: 218-681-4747 Fax: 218-683-2595 | |
Brian A Aubin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4240 Fax: 218-683-4512 | |
Mary C Macleod, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3001 Sanford Pkwy, Thief River Falls, MN 56701 Phone: 218-681-4240 |