| Dr Shelby Rae Bucholz, MD | |
|
1000 Coney St W, Perham, MN 56573-2102 | |
| (218) 347-1200 | |
| Not Available |
| Full Name | Dr Shelby Rae Bucholz |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 6 Years |
| Location | 1000 Coney St W, Perham, 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 |
|---|---|---|---|
| 1124645064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | NDRL16577 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 31364 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Perham Health | Perham, MN | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Perham Hospital District | 2264327766 | 38 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182 |
| Entity Name | Perham Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelby Rae Bucholz, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Dr Shelby Rae Bucholz, MD 1000 Coney St W, Perham, MN 56573-2102 Ph: (218) 347-1200 |
Kimberly Petersen, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 | |
Amy Renee White Jones, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 | |
Dr. Marlee Irene Novak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 | |
Jeffrey L Blickenstaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 3rd St Sw, Perham, MN 56573 Phone: 218-346-4040 Fax: 218-346-4043 | |
Timothy J Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 | |
Mark R Paulson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 |