| Mrs Kali Susan Manz, CNP | |
|
503 E Lincoln St, Hendricks, MN 56136-9598 | |
| (507) 275-2218 | |
| (507) 275-2242 |
| Full Name | Mrs Kali Susan Manz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 503 E Lincoln St, Hendricks, 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 |
|---|---|---|---|
| 1912677097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 8530 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Cooperstown Medical Center | Cooperstown, ND | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Altru Hospital | Grand forks, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cooperstown Medical Center | 5698687689 | 12 |
| Cooperstown Medical Center | 5698687689 | 12 |
| Entity Name | Cooperstown Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962548214 PECOS PAC ID: 5698687689 Enrollment ID: O20040203000722 |
| Entity Name | Hendricks Community Hospital Assn & Retirement Home |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1316026370 PECOS PAC ID: 9830127356 Enrollment ID: O20061104000556 |
| Entity Name | Hendricks Community Hospital Assn & Retirement Home |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013206812 PECOS PAC ID: 9830127356 Enrollment ID: O20110602000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kali Susan Manz, CNP 503 E Lincoln St, Hendricks, MN 56136-9598 Ph: (507) 275-2218 | Mrs Kali Susan Manz, CNP 503 E Lincoln St, Hendricks, MN 56136-9598 Ph: (507) 275-2218 |
Kathryn Jo Christensen, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 E Lincoln St, Hendricks, MN 56136 Phone: 507-275-3121 Fax: 507-275-3194 | |
Mrs. Debra Browning, C.F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 501 E Lincoln St, Hendricks, MN 56136 Phone: 507-275-3121 Fax: 507-275-3194 |