| Mark Blomberg, DO | |
|
400 S Center St, Durand, IL 61024-9590 | |
| (815) 248-3443 | |
| Not Available |
| Full Name | Mark Blomberg |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 9 Years |
| Location | 400 S Center St, Durand, Illinois |
| 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 |
|---|---|---|---|
| 1801336995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 71267 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tri-state Home Healthcare, Llc | Freeport, IL | Home health agency |
| Ssm Health At Home Monroe | Monroe, WI | Home health agency |
| Ssm Health At Home Monroe | Monroe, WI | Hospice |
| Ssm Health Monroe Hospital | Monroe, WI | Hospital |
| Uw Health | Rockford, IL | Hospital |
| Medina Nursing Center | Durand, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Monroe Clinic, Inc. | 3072425495 | 199 |
| The Monroe Clinic, Inc. | 3072425495 | 199 |
| Entity Name | The Monroe Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831254036 PECOS PAC ID: 3072425495 Enrollment ID: O20040112000130 |
| 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 |
Jennifer Ann Guffey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S Center St, Durand, IL 61024 Phone: 815-248-3443 Fax: 815-248-3445 |