| Michelle L Bomgardner, PA-C | |
|
3035 Demers Ave, Grand Forks, ND 58201-4040 | |
| (701) 746-7521 | |
| Not Available |
| Full Name | Michelle L Bomgardner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 3035 Demers Ave, Grand Forks, North Dakota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235892258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PAC1152 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Altru Hospital | Grand forks, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Bomgardner, PA-C Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-9419 | Michelle L Bomgardner, PA-C 3035 Demers Ave, Grand Forks, ND 58201-4040 Ph: (701) 746-7521 |
Sherbie Darbouze, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Cassidy A Mindeman, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 218-791-0992 | |
Ruth Ann Green, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4440 S Washington St. - Altru Professional Center, Grand Forks, ND 58201 Phone: 701-732-7600 | |
Monica A. Lamm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-6000 | |
Kele Ferreira, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Nicole Anne R Gadon, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3674 S Washington St, Grand Forks, ND 58201 Phone: 701-205-3000 Fax: 701-732-2501 | |
Agatha J Ottem Lill, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1750 47th Ave S, Grand Forks, ND 58201 Phone: 701-757-8700 Fax: 701-234-1147 |