| Robert Friese, OD | |
|
Po Box 800, Fairmont, MN 56031-0800 | |
| (507) 238-8555 | |
| Not Available |
| Full Name | Robert Friese |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 35 Years |
| Location | Po Box 800, Fairmont, 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 |
|---|---|---|---|
| 1114901733 | NPI | - | NPPES |
| 573R3FR | Medicaid | MN | |
| 675185 | Other | MN | ARAZ |
| 114854 | Medicaid | MN | |
| MH9041028502 | Other | MN | PREFERRED ONE |
| 22-02567 | Other | MN | MEDICA |
| 441525600 | Medicaid | MN | |
| 1160887 | Medicaid | IA | |
| 573R3FR | Other | MN | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2353 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2353 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
| United Hospital District | Blue earth, MN | Hospital |
| Avera Holy Family Hospital | Estherville, IA | Hospital |
| Madelia Community Hospital | Madelia, MN | Hospital |
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-fairmont | 4981694981 | 166 |
| Entity Name | Mayo Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Friese, OD 800 Medical Center Dr, Po Box 800, Fairmont, MN 56031-4575 Ph: (507) 238-8555 | Robert Friese, OD Po Box 800, Fairmont, MN 56031-0800 Ph: (507) 238-8555 |