| Mr Roger Melvin Boettcher, MD | |
|
200 Elm St N, Onamia, MN 56359-7901 | |
| (320) 532-3154 | |
| (320) 532-3111 |
| Full Name | Mr Roger Melvin Boettcher |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 200 Elm St N, Onamia, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831142413 | NPI | - | NPPES |
| 340G8BO | Other | MN | BLUE CROSS CLINICS |
| 01-21114 | Other | MN | MEDICA ISLE CLINIC |
| 01-21117 | Other | MN | MEDICA HILLMAN CLINIC |
| 340G9BO | Other | MN | BLUE CROSS HOSPITAL |
| NA9090253011 | Other | MN | PREFERRED ONE |
| 109558 | Other | MN | UCARE |
| 01-21010 | Other | MN | MEDICA ONAMIA |
| 206780300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 28490 (Minnesota) | Primary |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Roger Melvin Boettcher, MD 200 Elm St N, Onamia, MN 56359-7901 Ph: (320) 532-3154 | Mr Roger Melvin Boettcher, MD 200 Elm St N, Onamia, MN 56359-7901 Ph: (320) 532-3154 |
Fahad Khemani, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 | |
Dr. Rebecca Kweryogha Muwanse, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 | |
Dr. Thomas Howard Bracken, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 Fax: 320-532-3111 | |
Ryan Michael Fox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 | |
Dr. Nicholas Allen Booker, DO Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 Fax: 320-532-2399 | |
Dr. Patti Jean Hook, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 Fax: 320-532-3111 | |
Dr. Mohan Raj Karki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Elm St N, Onamia, MN 56359 Phone: 320-532-3154 Fax: 320-532-3111 |