| Jeffrey L Blickenstaff, MD | |
|
665 3rd St Sw, Perham, MN 56573-1108 | |
| (218) 346-4040 | |
| (218) 346-4043 |
| Full Name | Jeffrey L Blickenstaff |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 47 Years |
| Location | 665 3rd St Sw, Perham, 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 |
|---|---|---|---|
| 1225056955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27074 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Perham Living Home Care | Perham, MN | Home health agency |
| Hospice Of Red River Valley | Fargo, ND | Hospice |
| Knute Nelson Hospice | Alexandria, MN | Hospice |
| Perham Health | Perham, MN | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Perham Living | Perham, MN | Nursing home |
| 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 |
|---|---|
| Jeffrey L Blickenstaff, MD 665 3rd St Sw, Perham, MN 56573-1108 Ph: (218) 346-4040 | Jeffrey L Blickenstaff, MD 665 3rd St Sw, Perham, MN 56573-1108 Ph: (218) 346-4040 |
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. Shelby Rae Bucholz, 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 | |
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 |