| Ms Maija L Duppong, | |
|
111 2nd St Ne, Fosston, MN 56542-1301 | |
| (218) 435-1111 | |
| (218) 435-1112 |
| Full Name | Ms Maija L Duppong |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 111 2nd St Ne, Fosston, 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 |
|---|---|---|---|
| 1053555797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R 188975-4 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Home Care West | Detroit lakes, MN | Home health agency |
| Essentia Health Fosston | Fosston, MN | Hospital |
| Sanford Medical Center Thief River Falls | Thief river falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| First Care Medical Services | 3678542842 | 16 |
| Bridges Medical Center | 4981659851 | 11 |
| Sanford Health Of Northern Minnesota | 5597725168 | 299 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | First Care Medical Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073638565 PECOS PAC ID: 3678542842 Enrollment ID: O20040927000035 |
| Entity Name | Bridges Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366886186 PECOS PAC ID: 4981659851 Enrollment ID: O20050809000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Maija L Duppong, 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 Ph: (218) 435-1133 | Ms Maija L Duppong, 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1111 |
Breah Christianson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 | |
Nicholas Chandler Woods, APRN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 Fax: 218-435-1134 | |
Mei Wen W Sather, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1500 | |
Nan Vobr, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 Hilligoss Blvd Se, Fosston, MN 56542 Phone: 218-435-1133 |