| Mr Jeffrey Alan Donatelle, | |
|
15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 | |
| (218) 454-7012 | |
| (218) 454-7015 |
| Full Name | Mr Jeffrey Alan Donatelle |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 15620 Edgewood Dr Ste 240, Baxter, Minnesota |
| 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 |
|---|---|---|---|
| 1093991093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8517 (Minnesota) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 949-039 (Wisconsin) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Stone Therapies Baxter, Llc | 2365627684 | 6 |
| Provider Name | Big Stone Therapies Baxter, LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1194020669 PECOS PAC ID: 2365627684 Enrollment ID: O20110503000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Alan Donatelle, 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 | Mr Jeffrey Alan Donatelle, 15620 Edgewood Dr Ste 240, Baxter, MN 56401-6984 Ph: (218) 454-7012 |
Elizabeth Kae Hermanson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14884 Kirkwood Dr, Baxter, MN 56425 Phone: 218-824-5027 |
Select Therapy, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 14884 Kirkwood Drive, Baxter, MN 56425 Phone: 218-824-5027 Fax: 218-824-8011 |
Meredith Hillary Maria Griffin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7350 Clearwater Rd, Baxter, MN 56425 Phone: 218-454-5050 |
Kimberly Nan Palkert, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14884 Kirkwood Dr, Baxter, MN 56425 Phone: 218-824-5027 Fax: 218-824-8011 |
Justin Woitte, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |
Travis Beniak, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 |
The Amazing Journey Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7658 Design Rd, Suite 300, Baxter, MN 56425 Phone: 218-454-4600 Fax: 218-454-4601 |