Dr Gregory N Tjossem, MD | |
123 5th Ave Se, Spring Grove, MN 55974-1318 | |
(608) 782-7300 | |
Not Available |
Full Name | Dr Gregory N Tjossem |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 123 5th Ave Se, Spring Grove, 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 |
---|---|---|---|
1215931696 | NPI | - | NPPES |
82389349 | Medicaid | CO | |
026769 | Other | CO | KAISER COMMERCIAL NUMBER |
500641868 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD156481 (Oregon) | Secondary |
207Q00000X | Family Medicine | DR.0053297 (Colorado) | Secondary |
207Q00000X | Family Medicine | 40179 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Heartland Home Health Care And Hospice | Rochester, MN | Hospice |
Gundersen Lutheran Medical Center | La crosse, WI | Hospital |
Tweeten Lutheran Health Care Center | Spring grove, MN | Nursing home |
Green Lea Senior Living | Mabel, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gundersen Regional Clinics, Llc | 8820450919 | 49 |
Gundersen Clinic Ltd | 9638082779 | 325 |
Gundersen Clinic Ltd | 9638082779 | 325 |
Entity Name | Gundersen Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
Entity Name | Gundersen Regional Clinics, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699461558 PECOS PAC ID: 8820450919 Enrollment ID: O20230822002401 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregory N Tjossem, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Dr Gregory N Tjossem, MD 123 5th Ave Se, Spring Grove, MN 55974-1318 Ph: (608) 782-7300 |
Robert A Breitenbach, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 123 5th Ave Se, Spring Grove, MN 55974 Phone: 507-498-3302 | |
Glenn P Mccarty, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 5th Ave Se, Spring Grove, MN 55974 Phone: 507-498-3302 |