| Stephen M Bockhold, MD | |
|
512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 | |
| (218) 879-4641 | |
| Not Available |
| Full Name | Stephen M Bockhold |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 512 Skyline Blvd Ste 1, Cloquet, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174732952 | NPI | - | NPPES |
| 16P73BO | Other | MN | BCBS |
| P00436607 | Other | RRMEDICARE PTAN | |
| 857913100 | Medicaid | MN | |
| 1174732952 | Other | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 49675 (Minnesota) | Primary |
| Entity Name | International Falls Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20041118000626 |
| Entity Name | International Falls Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1528041183 PECOS PAC ID: 1951365998 Enrollment ID: O20061104000465 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200728000758 |
| Entity Name | Accentcare Medical Group Of Minnesota, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376387134 PECOS PAC ID: 4688101884 Enrollment ID: O20241230003062 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Bockhold, MD 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 | Stephen M Bockhold, MD 512 Skyline Blvd Ste 1, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
Ali Reza Arbabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Mr. Arne Vainio, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136 | |
Dr. Darla J Vanheerde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-9617 | |
Kenneth M Ripp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Dr. Shelly A Breyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Shannon Jean Wesley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720 Phone: 218-879-4641 |