| Jon E Dornacker, MD | |
|
437 3rd Ave Se, Garrison, ND 58540-0009 | |
| (701) 463-2245 | |
| (701) 463-6543 |
| Full Name | Jon E Dornacker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 437 3rd Ave Se, Garrison, North Dakota |
| 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 |
|---|---|---|---|
| 1801804588 | NPI | - | NPPES |
| 27263 | Other | ND | BLUE CROSS/ BLUE SHIELD |
| 13921 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9819 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi Health At Home | Bismarck, ND | Hospice |
| Garrison Memorial Hospital | Garrison, ND | Hospital |
| Chi St Alexius Health | Bismarck, ND | Hospital |
| Trinity Hospitals | Minot, ND | Hospital |
| Benedictine Living Center Of Garrison | Garrison, ND | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Garrison Memorial Hospital | 0143206946 | 6 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952381873 PECOS PAC ID: 0143206946 Enrollment ID: O20040624000556 |
| Entity Name | Garrison Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1982674560 PECOS PAC ID: 0143206946 Enrollment ID: O20061104000698 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon E Dornacker, MD 437 3rd Ave Se, Po Box 09, Garrison, ND 58540-7235 Ph: (701) 337-6714 | Jon E Dornacker, MD 437 3rd Ave Se, Garrison, ND 58540-0009 Ph: (701) 463-2245 |
Elizabeth Ashley Diffely, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-6551 | |
Vern Allen Harchenko, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-2245 Fax: 701-463-6543 |