Jerome D Poland Md Ltd is a
Eyewear Supplier based in Remer, Minnesota. Jerome D Poland Md Ltd is licensed to practice in Minnesota (license number 2807770003) and their current practice location is
9 Birch Street, Remer, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(218) 566-2020.
NPI number for Jerome D Poland Md Ltd is 1659550820 and their current mailing address is 1 3rd Ave Ne, Crosby, Minnesota. Jerome D Poland Md Ltd
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1659550820.
Healthcare Provider's Profile
Full Name | Jerome D Poland Md Ltd |
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Type | Facility |
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Speciality | Eyewear Supplier |
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Location | 9 Birch Street, Remer, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659550820
- Provider Enumeration Date: 10/24/2007
- Last Update Date: 07/12/2013
Medical Identifiers
Medical identifiers for Jerome D Poland Md Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659550820 | NPI | - | NPPES |
261527400 | Medicaid | MN | |
566R0CR | Other | MN | BLUE PLUS DISP |
85038PO | Other | MN | BLUE CROSS/BLUE SHIELD MN |
CG9827 | Other | MN | PALMETTO GBA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | 2807770003 (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 Md 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 Md Ltd 1 3rd Ave Ne, Crosby, MN 56441-1665 Ph: (218) 546-5108 | Jerome D Poland Md Ltd 9 Birch Street, Remer, MN 56672 Ph: (218) 566-2020 |
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