Dr Mark R Gundersen, MD | |
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
(218) 736-8000 | |
(218) 739-6742 |
Full Name | Dr Mark R Gundersen |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 35 Years |
Location | 712 South Cascade Street, Fergus Falls, 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 |
---|---|---|---|
1952390106 | NPI | - | NPPES |
080093188 | Other | MI | METRAHEALTH |
4540600 | Medicaid | MI | |
5659321 | Other | MI | AETNA |
010G56026 | Other | MI | HEALTH PLUS |
0802502771 | Other | MI | BLUE CROSS BLUE SHIELD |
080D410020 | Other | MI | BLUE CROSS BLUE SHIELD |
204375 | Other | MI | MCLAREN HEALTH PLAN |
F31478 | Other | MI | HEALTH NET FEDERAL |
204375 | Other | MI | HEALTH ADVANTAGE NETWORK |
C4258 | Other | MI | MCARE |
080D410020 | Other | MI | BLUE CARE NETWORK |
7073962004 | Other | MI | CIGNA |
F31478 | Other | MI | HEALTH ALLIANCE PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301069187 (Michigan) | Secondary |
207Q00000X | Family Medicine | 35677 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sanford Medical Center Worthington | Worthington, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Avera Mckennan | 0345157103 | 833 |
Rural Health Care Inc | 3476447541 | 133 |
Entity Name | Avera Mckennan |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093262131 PECOS PAC ID: 0345157103 Enrollment ID: O20040109001102 |
Entity Name | Rural Health Care Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215317375 PECOS PAC ID: 3476447541 Enrollment ID: O20150710000034 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark R Gundersen, MD 1216 Ryans Rd, Worthington, MN 56187-1722 Ph: (507) 372-2921 | Dr Mark R Gundersen, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Lonnie William Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
Daniel L Lembcke, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Tyler Lacey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 W Vernon Ave, Fergus Falls, MN 56537 Phone: 218-739-2221 | |
Dr. Ibrahim Ali Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 111 W Vernon Ave, Fergus Falls, MN 56537 Phone: 218-739-2221 | |
Patricia J. Lindholm, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742 | |
Michael J Vanvalkenburg, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-736-8757 | |
Robert A Vennerstrom, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 712 South Cascade Street, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6742 |