| Nicholas Doeling, | |
|
6600 State Highway 29 S, Alexandria, MN 56308-6196 | |
| (320) 763-8888 | |
| (320) 200-7478 |
| Full Name | Nicholas Doeling |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 17 Years |
| Location | 6600 State Highway 29 S, Alexandria, 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 |
|---|---|---|---|
| 1043448459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 8346 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Big Stone Therapies Inc | 1254655434 | 12 |
| Avera Marshall | 5799695227 | 78 |
| Big Stone Therapies Watertown Llc | 9133302409 | 10 |
| Big Stone Therapies Fargo Inc | 3072894807 | 6 |
| Provider Name | Avera Marshall |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568401016 PECOS PAC ID: 5799695227 Enrollment ID: O20031106000219 |
| Provider Name | Bst Albert Lea Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174107072 PECOS PAC ID: 4981002342 Enrollment ID: O20211015000279 |
| Provider Name | Big Stone Therapies Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124044656 PECOS PAC ID: 1254655434 Enrollment ID: O20211105001588 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas Doeling, 500 Cross St, Big Stone City, SD 57216-8237 Ph: (605) 541-1140 | Nicholas Doeling, 6600 State Highway 29 S, Alexandria, MN 56308-6196 Ph: (320) 763-8888 |
Lindsey Marie Knoll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3007 Broadway St Unit 102, Alexandria, MN 56308 Phone: 320-460-1188 | |
John E Amundson, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 410 30th Ave E Ste 102, Alexandria, MN 56308 Phone: 320-763-5505 Fax: 320-763-4447 | |
Erin M Mccoy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-6079 | |
Richelle M Dack, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-6079 | |
Courtney Suppa, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E, Alexandria, MN 56308 Phone: 320-762-1511 Fax: 320-762-6857 | |
Megan Mccormick, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6600 State Highway 29 S, Alexandria, MN 56308 Phone: 320-759-3154 |