| Timothy Bachenberg, MD | |
|
800 Medical Center Dr, Fairmont, MN 56031-4575 | |
| (507) 238-8555 | |
| Not Available |
| Full Name | Timothy Bachenberg |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 800 Medical Center Dr, Fairmont, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093799603 | NPI | - | NPPES |
| 06Q36BA | Other | MN | BLUE CROSS |
| 7293 | Other | MN | AVERA |
| 23346 | Other | MN | SIOUX VALLEY |
| 604566 | Other | MN | ARAZ |
| HP29866 | Other | MN | HEALTHPARTNERS |
| 01-13050 | Other | MN | MEDICA |
| 06Q36BA | Medicaid | MN | |
| 120541 | Medicaid | MN | |
| 983395 | Medicaid | IA | |
| MH9041001734 | Other | MN | PREFERREDONE |
| 762580400 | Medicaid | MN | |
| A021 | Other | MN | CHAMPUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34448 (Minnesota) | Primary |
| Entity Name | Custom Clinic, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699859124 PECOS PAC ID: 2961506860 Enrollment ID: O20070403000140 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20141210001742 |
| Entity Name | United Hospital District Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307688 PECOS PAC ID: 6204158884 Enrollment ID: O20150422000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Bachenberg, MD 800 Medical Center Dr, Po Box 800, Fairmont, MN 56031-4575 Ph: (507) 238-8555 | Timothy Bachenberg, MD 800 Medical Center Dr, Fairmont, MN 56031-4575 Ph: (507) 238-8555 |
Denise Schavey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031 Phone: 507-238-4968 | |
Steven Edward Parnell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031 Phone: 507-238-4968 | |
Mark Wolverton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Jeffery Green, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Bartlett Eriksen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Erik Burnison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |