| Dr Ethan Burlingame, DO | |
|
330 N 8th Ave E, Duluth, MN 55805-2024 | |
| (218) 529-9122 | |
| Not Available |
| Full Name | Dr Ethan Burlingame |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 4 Years |
| Location | 330 N 8th Ave E, 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 |
|---|---|---|---|
| 1457926842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 72718 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake View Memorial Hospital | Two harbors, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| The Waterview Shores Llc | Two harbors, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Lake View Memorial Hospital, Inc | 9032002688 | 8 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Entity Name | Duluth Graduate Medical Education Council Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972585867 PECOS PAC ID: 4385545953 Enrollment ID: O20040116000311 |
| Entity Name | Lake View Memorial Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20040206000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ethan Burlingame, DO 330 N 8th Ave E, Duluth, MN 55805-2024 Ph: (218) 529-9122 | Dr Ethan Burlingame, DO 330 N 8th Ave E, Duluth, MN 55805-2024 Ph: (218) 529-9122 |
Dr. Kylie Elizabeth Kraft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Steven Peter Phillipson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4621 E Superior St, Duluth, MN 55804 Phone: 218-786-3550 Fax: 218-525-7487 | |
Dr. Jennifer Lynn Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 221-872-3111 Fax: 218-529-9120 | |
Dr. Eric David Boehmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joseph Christopher Metzger Jr., MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122 | |
Ms. Kayla Jean Olds, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1414 Woodland Ave, Duluth, MN 55803 Phone: 218-302-1000 | |
Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103 |