| David T Bjork, MD | |
|
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
| (218) 736-8000 | |
| (218) 739-6742 |
| Full Name | David T Bjork |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 712 South Cascade Street, Fergus Falls, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366470601 | NPI | - | NPPES |
| 123439 | Other | MN | DTB UCARE # |
| 61080BJ | Other | MN | DTB BCBS # |
| 795005500 | Medicaid | MN | |
| 04-00525 | Other | MN | DTB MEDICA # |
| 060010197 | Other | MN | DTB MEDICARE RR # |
| 1008785 | Other | MN | DTB PREFERRED ONE # |
| 12183 | Medicaid | ND | |
| HP26580 | Other | MN | DTB HEALTHPARTNERS # |
| 41-0917444 | Other | MN | DTB ONE HEALTH PLAN |
| 1476533 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25165 (Minnesota) | Primary |
| Entity Name | Prairie Ridge Hospital And Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407838329 PECOS PAC ID: 0648222349 Enrollment ID: O20050210000490 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
| Mailing Address | Practice Location Address |
|---|---|
| David T Bjork, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 | David T Bjork, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Paul S Etzell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Joellen Kohlman-petrick, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
Jacqueline C. Ona, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 S Mill St, Fergus Falls, MN 56537 Phone: 218-739-2221 Fax: 218-739-5501 | |
Dr. Erin Lee Peterson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
Dr. Jack Russell Lubka, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Anthony Rooney, Internal Medicine Medicare: Medicare Enrolled Practice Location: 908 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8688 |