Dr Joseph Berdecia-rodriguez, MD-PHD | |
512 Skyline Blvd, Cloquet, MN 55720-3787 | |
(218) 879-4641 | |
Not Available |
Full Name | Dr Joseph Berdecia-rodriguez |
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Gender | Male |
Speciality | Family Medicine |
Location | 512 Skyline Blvd, Cloquet, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477589414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 28260 (Iowa) | Secondary |
207Q00000X | Family Medicine | 34357 (Montana) | Secondary |
207Q00000X | Family Medicine | 54017 (Minnesota) | Primary |
Entity Name | Adair County Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972780765 PECOS PAC ID: 9638065907 Enrollment ID: O20040224000664 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Berdecia-rodriguez, MD-PHD 151 Palm Ct, Lexington, SC 29072 Ph: (406) 470-6920 | Dr Joseph Berdecia-rodriguez, MD-PHD 512 Skyline Blvd, Cloquet, MN 55720-3787 Ph: (218) 879-4641 |
Ali Reza Arbabi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Mr. Arne Vainio, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136 | |
Dr. Darla J Vanheerde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-9617 | |
Stephen M Bockhold, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
Kenneth M Ripp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Dr. Shelly A Breyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904 | |
Shannon Jean Wesley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720 Phone: 218-879-4641 |