Joellen Kohlman-petrick, MD in Fergus Falls, MN - Medicare Cardiovascular Disease (cardiology)

Joellen Kohlman-petrick, MD is a medicare enrolled "Internal Medicine" physician in Fergus Falls, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). She is a member of the group practice Lake Region Healthcare Corporation, Lake Region Healthcare Corporation and her current practice location is 712 S Cascade St, Fergus Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 736-8000.

Joellen Kohlman-petrick is licensed to practice in Minnesota (license number 48295) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114985454.

Contact Information

	Joellen Kohlman-petrick, MD
	712 S Cascade St, Fergus Falls, MN 56537-2913
	(218) 736-8000
	(218) 739-6718

Map and Direction

Physician's Profile

Full Name	Joellen Kohlman-petrick
Gender	Female
Speciality	Cardiovascular Disease (cardiology)
Experience	20 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.

Medical Education and Training:

Joellen Kohlman-petrick attended and graduated from University Of North Dakota School Of Medicine in 2004

NPI Data:

NPI Number: 1114985454
Provider Enumeration Date: 05/03/2006
Last Update Date: 02/17/2017

Medicare PECOS Information:

PECOS PAC ID: 6103091129
Enrollment ID: I20111202000218

Medical Identifiers

Medical identifiers for Joellen Kohlman-petrick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114985454	NPI	-	NPPES
16483	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	48295 (Minnesota)	Primary
207RC0000X	Internal Medicine - Cardiovascular Disease	12070 (North Dakota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lake Region Healthcare Corporation	Fergus falls, MN	Hospital
Sanford Medical Center Fargo	Fargo, ND	Hospital
Prairie Ridge Hospital And Health Services	Elbow lake, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Region Healthcare Corporation	3971565334	109
Lake Region Healthcare Corporation	3971565334	109

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Joellen Kohlman-petrick allows following entities to bill medicare on her behalf.

Entity Name	Sanford Clinic North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942241351 PECOS PAC ID: 4284546151 Enrollment ID: O20031112000221

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joellen Kohlman-petrick is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Internal Medicine Doctors in Fergus Falls, MN

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: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000
Anthony Rooney, Internal Medicine Medicare: Medicare Enrolled 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

Joellen Kohlman-petrick, MD - Medicare Cardiovascular Disease (cardiology) in Fergus Falls, MN