| Steven B Thom, MD | |
|
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
| (218) 736-8000 | |
| (218) 736-8757 |
| Full Name | Steven B Thom |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 33 Years |
| Location | 712 South Cascade Street, Fergus Falls, 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 |
|---|---|---|---|
| 1063434637 | NPI | - | NPPES |
| 10214 | Medicaid | ND | |
| 641139800 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 7692 (North Dakota) | Secondary |
| 207W00000X | Ophthalmology | 40522 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Region Healthcare Corporation | Fergus falls, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lake Region Healthcare Corporation | 3971565334 | 124 |
| Eye Consultants Of Fargo Pllc | 5890045785 | 10 |
| 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 |
| Entity Name | Eye Consultants Of Fargo Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083191985 PECOS PAC ID: 5890045785 Enrollment ID: O20180920001141 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven B Thom, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 | Steven B Thom, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Brian E Schmidt, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Jack W. Pearson, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 615 S Mill St, Fergus Falls, MN 56537 Phone: 218-739-2221 Fax: 218-739-5501 |