| James D Nack, DPM | |
|
1421 Premier Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56002-8674 | |
| (507) 625-1811 | |
| Not Available |
| Full Name | James D Nack |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 38 Years |
| Location | 1421 Premier Dr, Mankato, 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 |
|---|---|---|---|
| 1689653685 | NPI | - | NPPES |
| 480018348 | Other | RR MEDICARE | |
| 115548 | Other | MN | UCARE |
| 2700675 | Other | MN | MEDICA |
| 334225500 | Medicaid | MN | |
| 938225 | Medicaid | IA | |
| HP26034 | Other | MN | HEALTH PARTNERS |
| NA2951014382 | Other | MN | PREFERRED ONE |
| 0M249NA | Other | MN | BCBA |
| 41084933956001C040 | Other | CHAMPUS | |
| 766559 | Other | MN | AMERICAS PPO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | 467 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mankato Clinic Ltd | 5597677955 | 221 |
| Provider Name | Mankato Clinic Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231 |
| Mailing Address | Practice Location Address |
|---|---|
| James D Nack, DPM 1230 E Main St, Po Box 8674, Mankato, MN 56002-8674 Ph: (507) 625-1811 | James D Nack, DPM 1421 Premier Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56002-8674 Ph: (507) 625-1811 |
Lynn K Gustafson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1421 Premiere Dr, Mankato Clinic @ Wickersham Campus, Mankato, MN 56001 Phone: 507-625-1811 | |
Justin Kenneth Metli, DPM, MA Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Dr. Darren Reed Cowl, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 65 Teton Ln, Mankato, MN 56001 Phone: 507-345-6960 Fax: 507-345-7040 | |
Dr. James Sidney Shaw, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 65 Teton Ln, Mankato, MN 56001 Phone: 507-345-3347 Fax: 507-345-7040 |