Gustave L Mellgren, MD | |
10 4th Ave Se, Glenwood, MN 56334-1820 | |
(320) 634-5157 | |
(320) 634-2244 |
Full Name | Gustave L Mellgren |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 10 4th Ave Se, Glenwood, 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 |
---|---|---|---|
1871562926 | NPI | - | NPPES |
026652300 | Medicaid | MN | |
252P5ME | Other | MN | BCBSMN |
01-21958 | Other | MN | MEDICA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 47727 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Glacial Ridge Hospital | Glenwood, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Glacial Ridge Hospital District | 5294789194 | 37 |
Entity Name | Glacial Ridge Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
Mailing Address | Practice Location Address |
---|---|
Gustave L Mellgren, MD 10 4th Ave Se, Glenwood, MN 56334-1820 Ph: (320) 634-5157 | Gustave L Mellgren, MD 10 4th Ave Se, Glenwood, MN 56334-1820 Ph: (320) 634-5157 |
Stacey Lynn Luetmer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 23896 N Lakeshore Dr, Glenwood, MN 56334 Phone: 320-491-1691 Fax: 800-878-9591 | |
Dr. David Edward Polzin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 4th Ave Se, Glenwood, MN 56334 Phone: 320-634-5157 | |
Duane Eric Westberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 4th Ave Se, Glenwood, MN 56334 Phone: 320-634-4521 Fax: 320-634-2262 | |
Robert Palencia Montenegro, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 4th Ave Se, Glenwood, MN 56334 Phone: 320-634-4521 Fax: 320-634-2262 | |
Erin R Dahlke, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 4th Ave Se, Glenwood, MN 56334 Phone: 320-634-5157 Fax: 320-634-2244 | |
Jeffrey Alan Schlueter, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10 4th Ave Se, Glenwood, MN 56334 Phone: 320-634-4521 Fax: 320-634-2262 |