| Joellen Kohlman-petrick, MD | |
|
712 S Cascade St, Fergus Falls, MN 56537-2913 | |
| (218) 736-8000 | |
| (218) 739-6718 |
| Full Name | Joellen Kohlman-petrick |
|---|---|
| Gender | Female |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 21 Years |
| Location | 712 S Cascade St, Fergus Falls, 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 |
|---|---|---|---|
| 1114985454 | NPI | - | NPPES |
| 16483 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48295 (Minnesota) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 12070 (North Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
| Prairie Ridge Hospital And Health Services | Elbow lake, MN | Hospital |
| Sanford Medical Center Fargo | Fargo, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Prairie Ridge Hospital And Health Services | 0648222349 | 13 |
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Entity Name | Lake Region Healthcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20170804001236 |
| Mailing Address | Practice Location Address |
|---|---|
| Joellen Kohlman-petrick, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Joellen Kohlman-petrick, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 |
Paul S Etzell, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Jacqueline C. Ona, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 615 S Mill St, Fergus Falls, MN 56537 Phone: 218-739-2221 Fax: 218-739-5501 | |
Dr. Erin Lee Peterson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
Dr. Jack Russell Lubka, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 | |
Anthony Rooney, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8688 | |
David T Bjork, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742 |