| Blake Ervin Collison, MD | |
|
407 E 3rd St, Duluth, MN 55805 | |
| (218) 786-4000 | |
| Not Available |
| Full Name | Blake Ervin Collison |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 10 Years |
| Location | 407 E 3rd St, Duluth, 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 |
|---|---|---|---|
| 1003293804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 63874 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| St Marys Hospital Superior | Superior, WI | Hospital |
| Essentia Health Virginia | Virginia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Medical Center | 6901706357 | 108 |
| Essentia Health Virginia Llc | 7810149002 | 65 |
| Entity Name | Pine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
| Entity Name | St Marys Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457393035 PECOS PAC ID: 6901706357 Enrollment ID: O20040112000118 |
| Entity Name | Deer River Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428 |
| Entity Name | Northern Pines Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200728000758 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Ervin Collison, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Blake Ervin Collison, MD 407 E 3rd St, Duluth, MN 55805 Ph: (218) 786-4000 |
Dr. Gregory K Bernhardt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5616 | |
Dr. Colton David Wiesner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 402 E 2nd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Dr. Wendell Rhett Bonner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 | |
Dr. Erika M Miles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4357 | |
Dr. Timothy E Borden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Dalton Grimm, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 |