Mary Ling Mok Moreno (NPI# 1699180893, PAC ID# 1456641372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ENDOCRINOLOGY.
| Nation Provider ID (NPI) | 1699180893 |
| PAC ID by PECOS | 1456641372 |
| Professional Enrollment ID | I20190627001131 |
| Full Name | Mary Ling Mok Moreno |
| Organization Legal Name | THE DULUTH CLINIC LTD |
| Address |
400 N 53rd Ave W Duluth MN 55807-2668 |
| Phone Number | 2185296300 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | ENDOCRINOLOGY |
| Group Practice PAC ID | 2567374283 |
| Number of Group Practice Members | 802 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240019 | ESSENTIA HEALTH DULUTH |
| 240002 | ESSENTIA HEALTH ST MARY'S MEDICAL CENTER |
| 521329 | ST MARYS HOSPITAL SUPERIOR |
| 240040 | UNIVERSITY MEDICAL CENTER-MESABI/ MESABA CLINICS |
| Address | Phone | Organization |
|---|---|---|
| 400 N 53rd Ave W, Duluth, MN 55807-2668 | 2185296300 | THE DULUTH CLINIC LTD |
| Organization Legal Name | THE DULUTH CLINIC LTD |
| Physicians | 754 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kate Jane Pelant | Nurse Practitioner | The Duluth Clinic Ltd | 211 S Boundary Ave, Proctor, MN 55810-2306 |
| Amos James Restad | Nurse Practitioner | The Duluth Clinic Ltd | 4212 Grand Ave, Duluth, MN 55807-2737 |
| Kirsten Ma Indrelie | Obstetrics/gynecology | The Duluth Clinic Ltd | 901 9th St N, Virginia, MN 55792-2325 |
| Mary F Hunt | Physical Therapy | The Duluth Clinic Ltd | 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 |
| Dane Mcgee Ingebrigtson | Anesthesiology | The Duluth Clinic Ltd | 3500 Tower Ave, Superior, WI 54880-5335 |
| Katherine Merriweather Munck | Internal Medicine | The Duluth Clinic Ltd | 4855 W Arrowhead Rd, Hermantown, MN 55811-3936 |
| Ekaterine Vladimirovna Mchenry | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 400 1st Ave Sw, Chisholm, MN 55719-2081 |
| Jaclyn M Hughley | Nurse Practitioner | The Duluth Clinic Ltd | 4621 E Superior St, Duluth, MN 55804-2338 |
| Joni Kay Ohman | Nurse Practitioner | The Duluth Clinic Ltd | 2202 E 2nd St, Suite 377, Superior, WI 54880-3778 |
| Ala Addin H Kandeel | Allergy/immunology | The Duluth Clinic Ltd | 407 E 3rd St, Duluth, MN 55805-1950 |
| Street Address |
400 N 53RD AVE W |
| City | DULUTH |
| State | MN |
| Zip | 55807-2668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard Hoch Cochrane | Anesthesiology | The Duluth Clinic Ltd | 400 N 53rd Ave W, Duluth, MN 55807-2668 |
| Gerald J Bellehumeur | Certified Registered Nurse Anesthetist (crna) | The Duluth Clinic Ltd | 400 N 53rd Ave W, Duluth, MN 55807-2668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hudson M Omweri | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kara L Fausch | Family Medicine | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Sarah E Blanshan | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Stephanie J Garofalo | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kimberly K Grob | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Mary E Jaeger | Certified Clinical Nurse Specialist (cns) | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Kristin M Stevens | Nurse Practitioner | Integrated Wound Care Minnesota Pllc | 7700 Grand Ave, Duluth, MN 55807-2154 |
| Adam Sundberg | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Joel M Harris | Chiropractic | Duluth Chiropractic Clinic Pa | 5807 Grand Ave, Duluth, MN 55807-2459 |
| Norman D Radtke | Physical Therapy | 215 N Central Ave, Suite 14b, Duluth, MN 55807-2473 | |
| Find all physicians in zip 55807 | |||
| City | DULUTH |
| Zip Code | 55807 |
| Specialty | ENDOCRINOLOGY |
| City + Specialty | DULUTH + ENDOCRINOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.