Lonnie William Berger, MD | |
712 S Cascade St, Fergus Falls, MN 56537-2913 | |
(218) 736-8000 | |
(218) 739-6718 |
Full Name | Lonnie William Berger |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 712 S Cascade St, Fergus Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063491751 | NPI | - | NPPES |
255016400 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 38597 (Minnesota) | Primary |
Entity Name | Lake Region Healthcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093713372 PECOS PAC ID: 3971565334 Enrollment ID: O20060109000246 |
Mailing Address | Practice Location Address |
---|---|
Lonnie William Berger, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 | Lonnie William Berger, MD 712 S Cascade St, Fergus Falls, MN 56537-2913 Ph: (218) 736-8000 |
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 |