| Dr David Christopher Anderholm, MD | |
|
7115 Forthun Road, Suite 105, Baxter, MN 56425 | |
| (218) 454-0090 | |
| (218) 454-0091 |
| Full Name | Dr David Christopher Anderholm |
|---|---|
| Gender | Male |
| Speciality | Psychiatry |
| Experience | 36 Years |
| Location | 7115 Forthun Road, Baxter, 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 |
|---|---|---|---|
| 1528039682 | NPI | - | NPPES |
| 503580500 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 34543 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Behavioral Care Of Colorado, P.c. | 0941648463 | 150 |
| Entity Name | David C. Anderholm, Md, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083725147 PECOS PAC ID: 7517998222 Enrollment ID: O20050823000356 |
| Entity Name | Optum Behavioral Care Of Colorado, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124898556 PECOS PAC ID: 0941648463 Enrollment ID: O20240725003342 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Christopher Anderholm, MD 7115 Forthun Road, Suite 105, Baxter, MN 56425 Ph: (218) 454-0090 | Dr David Christopher Anderholm, MD 7115 Forthun Road, Suite 105, Baxter, MN 56425 Ph: (218) 454-0090 |
Stephanie Sarazine, PMHNP-BC, CNP Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 | |
Dr. Alexis Lynn Glomski, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 14241 Grand Oaks Dr, Baxter, MN 56425 Phone: 218-316-3101 | |
Melissa A Virnig, RN, CNP Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 7115 Forthun Road, Suite 105, Baxter, MN 56425 Phone: 218-454-0090 Fax: 218-454-0091 |