Jerome D. Poland, M.d., Ltd is a
Eyewear Supplier based in Baxter, Minnesota. Jerome D. Poland, M.d., Ltd is licensed to practice in Minnesota (license number 2807770002) and their current practice location is
7636 Design Rd Ste 105, Baxter, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(218) 825-1976.
NPI number for Jerome D. Poland, M.d., Ltd is 1295914463 and their current mailing address is 1 3rd Ave Ne, Crosby, Minnesota. Jerome D. Poland, M.d., Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1295914463.
Healthcare Provider's Profile
| Full Name | Jerome D. Poland, M.d., Ltd |
|---|
| Type | Facility |
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| Speciality | Eyewear Supplier |
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| Location | 7636 Design Rd Ste 105, Baxter, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295914463
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 07/12/2013
Medical Identifiers
Medical identifiers for Jerome D. Poland, M.d., Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295914463 | NPI | - | NPPES |
| 566R0CR | Other | MN | BLUE PLUS DISPENSING |
| CG9827 | Other | MN | PALMETTO GBA |
| 261527400 | Medicaid | MN | |
| 85038PO | Other | MN | BLUE CROSS/BLUE SHIELD MN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | 2807770002 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jerome D. Poland, M.d., Ltd is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jerome D. Poland, M.d., Ltd
1 3rd Ave Ne,
Crosby, MN 56441-1665
Ph: (218) 546-5108 | Jerome D. Poland, M.d., Ltd
7636 Design Rd Ste 105,
Baxter, MN 56425-8678
Ph: (218) 825-1976 |
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