Patricia J Lindholm, MD | |
712 South Cascade Street, Fergus Falls, MN 56537-2813 | |
(218) 736-8000 | |
(218) 739-6742 |
Full Name | Patricia J Lindholm |
---|---|
Gender | Female |
Speciality | Family Medicine |
Location | 712 South Cascade Street, 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 |
---|---|---|---|
1356449227 | NPI | - | NPPES |
01-00795 | Other | MN | MEDICA |
41091744413 | Medicaid | NE | |
HP26727 | Other | MN | HEALTHPARTNERS |
27675LI | Other | MN | BLUECROSSBLUESHIELD |
015003700 | Medicaid | MN | |
12087 | Medicaid | ND | |
1008792 | Other | MN | PREFERREDONE |
110128 | Other | MN | UCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33575 (Minnesota) | Primary |
Entity Name | Lake Region Healthcare Corporation |
---|---|
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 |
---|---|
Patricia J Lindholm, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 | Patricia J Lindholm, MD 712 South Cascade Street, Fergus Falls, MN 56537-2813 Ph: (218) 736-8000 |
Lonnie William Berger, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 712 S Cascade St, Fergus Falls, MN 56537 Phone: 218-736-8000 Fax: 218-739-6718 | |
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 | |
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 |