| Dr Michael Anthony P Borromeo, MD | |
|
Highway 1, Ihs Box 165, Red Lake, MN 56671-0165 | |
| (218) 679-3912 | |
| (218) 679-0181 |
| Full Name | Dr Michael Anthony P Borromeo |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 33 Years |
| Location | Highway 1, Red Lake, 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 |
|---|---|---|---|
| 1063447605 | NPI | - | NPPES |
| 34G20BO | Other | MN | BC/BS OF MN |
| HSZ009 | Other | MN | PART B |
| HSZ011 | Other | MN | PART B |
| 510010100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43108 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Red Lake Hospital A | Redlake, MN | Hospital |
| Sanford Bemidji Medical Center | Bemidji, MN | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phs Indian Hospital | 4789598731 | 21 |
| Entity Name | Phs Indian Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508809765 PECOS PAC ID: 4789598731 Enrollment ID: O20031114000287 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Anthony P Borromeo, MD 24760 Hospital Drive, Box 497, Red Lake, MN 56671-0165 Ph: (218) 679-3912 | Dr Michael Anthony P Borromeo, MD Highway 1, Ihs Box 165, Red Lake, MN 56671-0165 Ph: (218) 679-3912 |
Jennifer A Naiser, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Road, Red Lake, MN 56671 Phone: 218-679-3912 Fax: 817-579-3969 | |
Thomas Powell Luft, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 24760 Hospital Road, Red Lake, MN 56671 Phone: 218-679-3912 |