| Eric Mjelde, | |
|
705 Pleasant Ave S, Park Rapids, MN 56470-1440 | |
| (218) 732-2800 | |
| (218) 732-2857 |
| Full Name | Eric Mjelde |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 705 Pleasant Ave S, Park Rapids, 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 |
|---|---|---|---|
| 1588064299 | NPI | - | NPPES |
| 1588064299 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11663 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Essentia Health Fargo | Fargo, ND | Hospital |
| St Josephs Area Health Services | Park rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 190 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Mjelde, 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 732-2800 | Eric Mjelde, 705 Pleasant Ave S, Park Rapids, MN 56470-1440 Ph: (218) 732-2800 |
Dancia Rebecca Martens, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3700 Fax: 218-616-3737 |
Megan Meyers, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 |
Elizabeth Hirt, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |
Brenda J Norby, P.A-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |
Tiffany Pittman, DMSC, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 207 2nd St W, Park Rapids, MN 56470 Phone: 320-500-2024 Fax: 320-244-7958 |
Rose A Haroldson, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2857 |
Betty Larsen, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 |