| Dr Jessica Tabatt, DPM | |
|
2024 S 6th St, Brainerd, MN 56401-4529 | |
| (218) 828-7110 | |
| Not Available |
| Full Name | Dr Jessica Tabatt |
|---|---|
| Gender | Female |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 2024 S 6th St, Brainerd, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811250707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | TP187 (Minnesota) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 928 (Minnesota) | Primary |
| Provider Name | St Josephs Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Tabatt, DPM 400 E 3rd St, Mcl2cred, Duluth, MN 55805-1951 Ph: (218) 829-2861 | Dr Jessica Tabatt, DPM 2024 S 6th St, Brainerd, MN 56401-4529 Ph: (218) 828-7110 |
Stefany Carvalho, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-2880 | |
Daniel Ryan, Podiatrist Medicare: Medicare Enrolled Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7100 | |
Annette F Bartel, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5213 | |
Jacob Allan Harder, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-2880 | |
Dr. Colin Matthew Zdenek, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-828-7101 |