Mark Blomberg, DO is a medicare enrolled "Family Medicine" physician in Durand, Illinois. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Monroe Clinic Inc and his current practice location is
400 S Center St, Durand, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 248-3443.
Mark Blomberg is licensed to practice in Wisconsin (license number 71267) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801336995.
Physician's Profile
Full Name | Mark Blomberg |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 8 Years |
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Location | 400 S Center St, Durand, Illinois |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mark Blomberg graduated from medical school in 2017
NPI Data:
- NPI Number: 1801336995
- Provider Enumeration Date: 03/08/2017
- Last Update Date: 12/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2769753037
- Enrollment ID: I20200817001908
Medical Identifiers
Medical identifiers for Mark Blomberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801336995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 71267 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Monroe Clinic Inc | 3072425495 | 155 |
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. Mark Blomberg allows following entities to bill medicare on his behalf.
Entity Name | The Monroe Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831254036 PECOS PAC ID: 3072425495 Enrollment ID: O20040112000130 |
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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. Mark Blomberg 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 |
Mark Blomberg, DO 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-1518 | Mark Blomberg, DO 400 S Center St, Durand, IL 61024-9590 Ph: (815) 248-3443 |
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