Jon E Dornacker, MD | |
437 3rd Ave Se, Garrison, ND 58540-0009 | |
(701) 463-2245 | |
(701) 463-6543 |
Full Name | Jon E Dornacker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 437 3rd Ave Se, Garrison, North Dakota |
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 |
---|---|---|---|
1801804588 | NPI | - | NPPES |
27263 | Other | ND | BLUE CROSS/ BLUE SHIELD |
13921 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9819 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Chi Health At Home | Bismarck, ND | Home health agency |
Chi Health At Home | Bismarck, ND | Hospice |
Garrison Memorial Hospital | Garrison, ND | Hospital |
Chi St Alexius Health | Bismarck, ND | Hospital |
Benedictine Living Center Of Garrison | Garrison, ND | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Garrison Memorial Hospital | 0143206946 | 6 |
Entity Name | Garrison Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952381873 PECOS PAC ID: 0143206946 Enrollment ID: O20040624000556 |
Entity Name | Garrison Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1982674560 PECOS PAC ID: 0143206946 Enrollment ID: O20061104000698 |
Mailing Address | Practice Location Address |
---|---|
Jon E Dornacker, MD 437 3rd Ave Se, Po Box 09, Garrison, ND 58540-7235 Ph: (701) 337-6714 | Jon E Dornacker, MD 437 3rd Ave Se, Garrison, ND 58540-0009 Ph: (701) 463-2245 |
Elizabeth Ashley Diffely, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-6551 | |
Vern Allen Harchenko, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 437 3rd Ave Se, Garrison, ND 58540 Phone: 701-463-2245 Fax: 701-463-6543 |