Craig A Vickstrom, MD in Hibbing, MN - Medicare Emergency Medicine

Craig A Vickstrom, MD is a medicare enrolled "Family Medicine" physician in Hibbing, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Baraga County Memorial Hospital and his current practice location is 3605 Mayfair Ave, Hibbing, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 262-3441.

Craig A Vickstrom is licensed to practice in Michigan (license number 4301086855) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265541486.

Contact Information

	Craig A Vickstrom, MD
	3605 Mayfair Ave, Hibbing, MN 55746-2935
	(218) 262-3441
	(906) 524-5126

Map and Direction

Physician's Profile

Full Name	Craig A Vickstrom
Gender	Male
Speciality	Emergency Medicine
Experience	32 Years
Location	3605 Mayfair Ave, Hibbing, 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.

Medical Education and Training:

Craig A Vickstrom attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1992

NPI Data:

NPI Number: 1265541486
Provider Enumeration Date: 08/30/2006
Last Update Date: 09/13/2013

Medicare PECOS Information:

PECOS PAC ID: 0042101727
Enrollment ID: I20051205000721

Medical Identifiers

Medical identifiers for Craig A Vickstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265541486	NPI	-	NPPES
4795539	Medicaid	MI
080Z710040 CV086855	Other	MI	BLUE CROSS - OFFICE
010Z760020 CV086855	Other		BLUE CROSS - ER SERVICES
4797112	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301086855 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baraga County Memorial Hospital	L' anse, MI	Hospital
Bayside Village	L' anse, MI	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baraga County Memorial Hospital	7416866611	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Craig A Vickstrom allows following entities to bill medicare on his behalf.

Entity Name	Baraga County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851409643 PECOS PAC ID: 7416866611 Enrollment ID: O20040826000560

Entity Name	Baraga County Memorial Hospital
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1558479824 PECOS PAC ID: 7416866611 Enrollment ID: O20100913001031

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. Craig A Vickstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Craig A Vickstrom, MD 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441	Craig A Vickstrom, MD 3605 Mayfair Ave, Hibbing, MN 55746-2935 Ph: (218) 262-3441

Reviews and Comments

Family Medicine Doctors in Hibbing, MN

Mary Martha Grahek, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 730 E 34th St, Hibbing, MN 55746 Phone: 218-263-1000
Dr. Amy Kathleen Hilde-philips, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100
Dr. Richard Jon Rudberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989
Susan Hoyum, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441
Kimberly M. Bigelow, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441
Dr. Jack Buchanen Greene, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 E 34th St, Hibbing, MN 55746 Phone: 218-362-7100

Craig A Vickstrom, MD - Medicare Emergency Medicine in Hibbing, MN