Robert A Vennerstrom, MD in Fergus Falls, MN

Robert A Vennerstrom, MD is a medicare enrolled "Family Medicine" physician in Fergus Falls, Minnesota. His current practice location is 712 South Cascade Street, Fergus Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 736-8000.

Robert A Vennerstrom is licensed to practice in Minnesota (license number 33413) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437250800.

Contact Information

	Robert A Vennerstrom, MD
	712 South Cascade Street, Fergus Falls, MN 56537-2813
	(218) 736-8000
	(218) 739-6742

Map and Direction

Physician's Profile

Full Name	Robert A Vennerstrom
Gender	Male
Speciality	Family Medicine
Location	712 South Cascade Street, Fergus Falls, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437250800
Provider Enumeration Date: 09/26/2006
Last Update Date: 02/16/2017

Medicare PECOS Information:

PECOS PAC ID: 9234126418
Enrollment ID: I20070309000221

Medical Identifiers

Medical identifiers for Robert A Vennerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437250800	NPI	-	NPPES
200383400A	Medicaid	IN
806646400	Medicaid	ID
HP27402	Other	MN	HEALTHPARTNERS
1008800	Other	MN	PREFERREDONE
01-14533	Other	MN	MEDICABLC
093007500	Medicaid	MN
41091744413	Medicaid	NE
109371	Other	MN	UCAREMN
232419	Medicaid	OR
01-00794	Other	MN	MEDICAFFMG&WRC
80532VE	Other	MN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	33413 (Minnesota)	Primary

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. Robert A Vennerstrom allows following entities to bill medicare on his behalf.

Entity Name	Lake Region Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246

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. Robert A Vennerstrom 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
Robert A Vennerstrom, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000	Robert A Vennerstrom, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000

Reviews and Comments

Family Medicine Doctors in Fergus Falls, MN

Lonnie William Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718
Daniel L Lembcke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757
Tyler Lacey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 W Vernon Ave, Fergus Falls, MN 56537 Phone: 218-739-2221
Dr. Ibrahim Ali Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 W Vernon Ave, Fergus Falls, MN 56537 Phone: 218-739-2221
Patricia J. Lindholm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742
Michael J Vanvalkenburg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757

Robert A Vennerstrom, MD - Medicare Family Medicine in Fergus Falls, MN