| Dr Elizabeth Kate Blixt, MD | |
|
1900 Centracare Cir, Suite 2575, St Cloud, MN 56303-5000 | |
| (320) 229-4924 | |
| (320) 229-4971 |
| Full Name | Dr Elizabeth Kate Blixt |
|---|---|
| Gender | Female |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 1900 Centracare Cir, St Cloud, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487900577 | NPI | - | NPPES |
| P01238261 | Other | MN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 56812 (Minnesota) | Primary |
| 207N00000X | Dermatology | 107024 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elizabeth Kate Blixt, MD 1900 Centracare Cir, Suite 2575, St Cloud, MN 56303-5000 Ph: (320) 229-4924 | Dr Elizabeth Kate Blixt, MD 1900 Centracare Cir, Suite 2575, St Cloud, MN 56303-5000 Ph: (320) 229-4924 |
Dr. Rachel Wenner Ruzanic, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Circle, Centracare Clinic- Health Plaza Specialties, St Cloud, MN 56303 Phone: 320-229-4924 | |
Rachel L Schuneman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Circle, St Cloud, MN 56303 Phone: 320-229-4924 Fax: 320-763-7883 |