| Bethany Staehnke, | |
|
323 S Minnesota St, Crookston, MN 56716-1601 | |
| (218) 281-9200 | |
| Not Available |
| Full Name | Bethany Staehnke |
|---|---|
| Gender | Female |
| Speciality | Podiatry |
| Experience | 11 Years |
| Location | 323 S Minnesota St, Crookston, 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 |
|---|---|---|---|
| 1821470907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 993 (Minnesota) | Primary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006649 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Hospital | Crookston, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverview Healthcare Association | 7810806718 | 46 |
| Provider Name | Riverview Healthcare Association |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811918436 PECOS PAC ID: 7810806718 Enrollment ID: O20040128000040 |
| Provider Name | Riverview Healthcare Association |
|---|---|
| Provider Type | Part A Provider - Critical Access Hospital |
| Provider Identifiers | NPI Number: 1487944898 PECOS PAC ID: 7810806718 Enrollment ID: O20060505000925 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Staehnke, 323 S Minnesota St, Crookston, MN 56716-1601 Ph: Not Available | Bethany Staehnke, 323 S Minnesota St, Crookston, MN 56716-1601 Ph: (218) 281-9200 |
Richard A Lochner, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9553 Fax: 218-281-9393 |
David C Peterson, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9556 |