| Mr Blaise Auguste Bindoula, | |
|
49725 County 83, Staples, MN 56479-5280 | |
| (218) 894-1515 | |
| (218) 894-8767 |
| Full Name | Mr Blaise Auguste Bindoula |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 49725 County 83, Staples, 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 |
|---|---|---|---|
| 1316313562 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ponderosa Heart House Call | 5890112429 | 10 |
| Entity Name | Ponderosa Heart House Call |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073131561 PECOS PAC ID: 5890112429 Enrollment ID: O20200827003322 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Blaise Auguste Bindoula, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-8423 | Mr Blaise Auguste Bindoula, 49725 County 83, Staples, MN 56479-5280 Ph: (218) 894-1515 |
Kelly Vanvickle, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 |
Chelsey Lee Olander, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |
Jessica A Nybakken, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |
Mattie Rose Ellenson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-898-7518 |
Amber Rasinski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Prairie Ave Ne, Staples, MN 56479 Phone: 218-894-1515 |
Lisa Mary Smeby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |
Melissa Ann Buss, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 49725 County 83, Staples, MN 56479 Phone: 218-894-1515 Fax: 218-894-8767 |