Dr Holly Bacon Perkins, MD | |
3290 42nd Ave S Ste 100, Saint Cloud, MN 56301-6251 | |
(320) 227-5000 | |
Not Available |
Full Name | Dr Holly Bacon Perkins |
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Gender | Female |
Speciality | Family Medicine |
Location | 3290 42nd Ave S Ste 100, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902339047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2020027000 (Missouri) | Secondary |
207Q00000X | Family Medicine | 77717 (Minnesota) | Primary |
Entity Name | Simplicity Health Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780186486 PECOS PAC ID: 1557617354 Enrollment ID: O20180710001022 |
Mailing Address | Practice Location Address |
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Dr Holly Bacon Perkins, MD 3290 42nd Ave S Ste 100, Saint Cloud, MN 56301-6251 Ph: () - | Dr Holly Bacon Perkins, MD 3290 42nd Ave S Ste 100, Saint Cloud, MN 56301-6251 Ph: (320) 227-5000 |
Steven Danielson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Fariha Furqan Qureshi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 | |
Dr. Crispin Rabara Domingo Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 Fax: 320-355-6359 | |
Dr. Bartley Brandon Mueller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-202-8949 Fax: 320-202-0756 | |
Ashley Marie Mackinac, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 167-032-0252 | |
Steven Weno, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 | |
Jennifer Ann Tarpenning, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1555 Northway Dr Ste 200, Saint Cloud, MN 56303 Phone: 320-240-3157 |