| Grant Scott Bludorn, DO | |
|
1615 Maple Ln, Ashland, WI 54806-3626 | |
| (715) 685-5700 | |
| Not Available |
| Full Name | Grant Scott Bludorn |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 7 Years |
| Location | 1615 Maple Ln, Ashland, Wisconsin |
| 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 |
|---|---|---|---|
| 1265920789 | NPI | - | NPPES |
| 2193658 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OP61177677 (Washington) | Secondary |
| 207Q00000X | Family Medicine | 81388-21 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Ashland, WI | Hospital |
| Essentia Health St Mary's Medical Center | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Polinsky Medical Rehabilitation Center | 0941377360 | 242 |
| Memorial Medical Center Inc | 8022000447 | 44 |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Scott Bludorn, DO Po Box 34703, Seattle, WA 98124-1703 Ph: () - | Grant Scott Bludorn, DO 1615 Maple Ln, Ashland, WI 54806-3626 Ph: (715) 685-5700 |
David Michael Saarinen I, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1625 Maple Ln, Ashland, WI 54806 Phone: 715-685-7500 Fax: 715-682-2481 | |
Matthew John Horning, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 Ellis Ave, Ashland, WI 54806 Phone: 715-685-6600 Fax: 715-685-6601 | |
John Douglas Ipsen, Family Medicine Medicare: Medicare Enrolled Practice Location: 53585 Nokomis Rd, Ashland, WI 54806 Phone: 715-682-7133 Fax: 715-685-7857 | |
Renee C Schroeder, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 213 10th Ave W, Ashland, WI 54806 Phone: 715-209-8346 | |
Dr. Aanders Jarl Dommer, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1615 Maple Lane, Ashland, WI 54806 Phone: 715-685-5500 Fax: 715-682-4022 | |
Dr. Jackie Lynn Yaeger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1615 Maple Ln Ste 1, Ashland, WI 54806 Phone: 715-685-7500 | |
Ryan J Brang, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Main St W, Ashland, WI 54806 Phone: 715-682-5601 Fax: 715-682-6878 |