| Randall J Bolar, MD | |
|
1027 Washington Ave, Detroit Lakes, MN 56501-3409 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Randall J Bolar |
|---|---|
| Gender | Male |
| Speciality | |
| Experience | Years |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| 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 |
|---|---|---|---|
| 1558323246 | NPI | - | NPPES |
| 1515147 | Medicaid | TN | |
| TN0125 | Other | TN | AMERICHOICE |
| 203500913011 | Other | TN | TRICARE |
| 000000069481 | Other | KY | ANTHEM BC |
| 10802394 | Other | CAQH | |
| 1558323246 | Medicaid | MN | |
| 01281517 | Other | TN | AMERIGROUP |
| 4221186 | Other | TN | BCBS |
| 64357130 | Medicaid | KY | |
| 7774037 | Other | KY | AETNA |
| 3338849 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34949 (Tennessee) | Secondary |
| 208600000X | Surgery | 36945 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randall J Bolar, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Randall J Bolar, MD 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 |
George A Portilla, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Mitchell B Goldstein, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1245 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-846-2000 Fax: 218-846-2114 | |
Shang-yee S Yeh, MD Surgery Medicare: Medicare Enrolled Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-844-2347 |