Blake Ervin Collison, MD | |
407 E 3rd St, Duluth, MN 55805 | |
(218) 786-4000 | |
Not Available |
Full Name | Blake Ervin Collison |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 9 Years |
Location | 407 E 3rd St, Duluth, 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 |
---|---|---|---|
1003293804 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 63874 (Minnesota) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
St Marys Hospital Superior | Superior, WI | Hospital |
Essentia Health Virginia | Virginia, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Polinsky Medical Rehabilitation Center | 0941377360 | 205 |
Entity Name | St Marys Hospital Of Superior |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083657886 PECOS PAC ID: 8628964228 Enrollment ID: O20040309000070 |
Mailing Address | Practice Location Address |
---|---|
Blake Ervin Collison, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-4222 | Blake Ervin Collison, MD 407 E 3rd St, Duluth, MN 55805 Ph: (218) 786-4000 |
Dr. Gregory K Bernhardt, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5616 | |
Dr. Colton David Wiesner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 402 E 2nd St, Duluth, MN 55805 Phone: 218-786-4000 | |
Dr. Wendell Rhett Bonner, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 | |
Dr. Erika M Miles, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 407 East 3rd Street, St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4357 | |
Dr. Timothy E Borden, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Dalton Grimm, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 |