Dr Shelby Rae Bucholz, MD in Perham, MN - Medicare Family Medicine

Dr Shelby Rae Bucholz, MD is a medicare enrolled "Family Medicine" physician in Perham, Minnesota. Her current practice location is 1000 Coney St W, Perham, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 347-1200.

Dr Shelby Rae Bucholz is licensed to practice in Minnesota (license number 31364) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124645064.

Contact Information

	Dr Shelby Rae Bucholz, MD
	1000 Coney St W, Perham, MN 56573-2102
	(218) 347-1200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shelby Rae Bucholz
Gender	Female
Speciality	Family Medicine
Location	1000 Coney St W, Perham, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124645064
Provider Enumeration Date: 06/26/2020
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3072974898
Enrollment ID: I20230726002654

Medical Identifiers

Medical identifiers for Dr Shelby Rae Bucholz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124645064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	NDRL16577 (North Dakota)	Secondary
207Q00000X	Family Medicine	31364 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shelby Rae Bucholz allows following entities to bill medicare on her behalf.

Entity Name	Perham Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932113768 PECOS PAC ID: 2264327766 Enrollment ID: O20040216000182

Entity Name	Perham Hospital District
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1790799518 PECOS PAC ID: 2264327766 Enrollment ID: O20061104000612

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shelby Rae Bucholz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shelby Rae Bucholz, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () -	Dr Shelby Rae Bucholz, MD 1000 Coney St W, Perham, MN 56573-2102 Ph: (218) 347-1200

Reviews and Comments

Family Medicine Doctors in Perham, MN

Amy Renee White Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Dr. Marlee Irene Novak, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Chad G Thiel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200 Fax: 218-346-4043
Jeffrey L Blickenstaff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 3rd St Sw, Perham, MN 56573 Phone: 218-346-4040 Fax: 218-346-4043
Timothy J Studer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200
Mark R Paulson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Coney St W, Perham, MN 56573 Phone: 218-347-1200

Dr Shelby Rae Bucholz, MD - Medicare Family Medicine in Perham, MN