| Theresa Rose Bly, APRN, CNP | |
|
300 S Bruce St, Marshall, MN 56258-1934 | |
| (507) 537-9007 | |
| (507) 537-2720 |
| Full Name | Theresa Rose Bly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 27 Years |
| Location | 300 S Bruce St, Marshall, Minnesota |
| 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 |
|---|---|---|---|
| 1760460836 | NPI | - | NPPES |
| 816610200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0742 (Minnesota) | Primary |
| 163W00000X | Registered Nurse | R 088633 4 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1778 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa Rose Bly, APRN, CNP 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9007 | Theresa Rose Bly, APRN, CNP 300 S Bruce St, Marshall, MN 56258-1934 Ph: (507) 537-9007 |
Ablavi Saboutey, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 612-616-6227 |
Michael John Goblish, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-337-2923 |
Sandra Kay Turbes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-532-9661 |
Ms. Susan R Norgaard, RN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1420 East College Drive, Affiliated Community Medical Centers, Marshall, MN 56258 Phone: 320-231-5000 Fax: 507-247-5184 |
Courtney June Blomme, APRN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 S Bruce St, Marshall, MN 56258 Phone: 507-537-9007 Fax: 507-537-2720 |
Talicia Jarcho, RN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 |
Patrick Masiasia Birisi, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3607 |