Dr Jane M Churchill, MD | |
600 Pleasant Ave S, Park Rapids, MN 56470-1431 | |
(218) 732-3311 | |
(218) 732-1368 |
Full Name | Dr Jane M Churchill |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 600 Pleasant Ave S, Park Rapids, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518987122 | NPI | - | NPPES |
667368600 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18982 (Minnesota) | Primary |
Entity Name | St. Joseph's Area Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023086055 PECOS PAC ID: 0345146510 Enrollment ID: O20031209000521 |
Mailing Address | Practice Location Address |
---|---|
Dr Jane M Churchill, MD 17833 County Rd 40, Park Rapids, MN 56470 Ph: (218) 732-9453 | Dr Jane M Churchill, MD 600 Pleasant Ave S, Park Rapids, MN 56470-1431 Ph: (218) 732-3311 |
Michele Thieman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Shane D Nygard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 7th St W, Park Rapids, MN 56470 Phone: 218-699-3121 | |
Todd M Officer, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Anthony Hacker, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 600 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-616-3423 | |
Bradley A Refsland, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 Fax: 218-732-2874 | |
Dr. Kavya Koppula, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Pleasant Ave S, Park Rapids, MN 56470 Phone: 218-732-2800 | |
Dr. Maurice William Spangler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 Pleasant Ave S, St. Joseph's Area Health Services., Park Rapids, MN 56470 Phone: 218-732-3311 |