Mark Blomberg, DO is a medicare enrolled "Family Medicine" physician in Durand, Illinois. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Monroe Clinic, Inc., The Monroe Clinic, Inc. and his current practice location is
400 S Center St, Durand, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 248-3443.
Mark Blomberg is licensed to practice in Wisconsin (license number 71267) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801336995.
Physician's Profile
| Full Name | Mark Blomberg |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 8 Years |
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| Location | 400 S Center St, Durand, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mark Blomberg graduated from medical school in 2017
NPI Data:
- NPI Number: 1801336995
- Provider Enumeration Date: 03/08/2017
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769753037
- Enrollment ID: I20200817001839
Medical Identifiers
Medical identifiers for Mark Blomberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801336995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 71267 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| The Monroe Clinic, Inc. | 3072425495 | 169 |
| The Monroe Clinic, Inc. | 3072425495 | 169 |
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. Mark Blomberg allows following entities to bill medicare on his behalf.
| Entity Name | The Monroe Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
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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. Mark Blomberg 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 |
Mark Blomberg, DO 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-1518 | Mark Blomberg, DO 400 S Center St, Durand, IL 61024-9590 Ph: (815) 248-3443 |
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