Dermatology at the Lakes PLLC
NPI 1285416362ActiveOrganization· Dermatology· Detroit Lakes, MN
Dermatology in Detroit Lakes, Minnesota, registered in NPPES in October 2023. The authorized official on file is Amanda Beehler, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285416362 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2023 |
| Last updated in NPPES | Jun 17, 2025 |
| Certified by provider | Jun 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other Dermatology providers in Detroit Lakes
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