DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1710961958

NPI Code Detail

MEDICARE: PERRY BERHOW P.A.

MEDICARE: PERRY BERHOW P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	8806	MN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	01Q58BE	OTHER	MN	BCBS/MEDICARE SUPPLEMENT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	595810	OTHER	MN	ARAZ
2	HP50065	OTHER	MN	HEALTH PARTNERS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MH9041001158	OTHER	MN	PPO
6	01-13393	OTHER	MN	MEDICA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	4042	OTHER	MN	AVERA
11	A026	OTHER	MN	CHAMPUS
12	01Q58BE	OTHER	MN	BCBS

General Provider Information

NPI Number	:	1710961958
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRY BERHOW P.A.

Provider Business Mailing Address
First Line	:	800 MEDICAL CENTER DR
Second Line	:
City	:	FAIRMONT
State	:	MN
Zip	:	56031-4575
Country	:	US
Telephone Number	:	507-238-8555
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 MEDICAL CENTER DR
Second Line	:
City	:	FAIRMONT
State	:	MN
Zip	:	56031-4575
Country	:	US
Telephone Number	:	507-238-8555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2005
Last Update Date	:	07/09/2007

Similar Medicare Providers

1205833746 — DR. JOHN DANIEL HOLSTINE MD
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 507-235-6036
Practice Fax: 507-235-8882

1477540995 — KELLY RAY SHANTZ CRNA
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 507-238-8555
Practice Fax:

1912981200 — ABRAHAM JOSEPH MD
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 507-238-8555
Practice Fax:

1073597159 — ANNE SHEPPARD RD
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 507-238-8555
Practice Fax:

1609850338 — SAMUEL MEALS M.D.
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 500-723-8855
Practice Fax:

1093799603 — TIMOTHY BACHENBERG MD
Practice Location Address:

800 MEDICAL CENTER DR
FAIRMONT, MN
56031-4575

Practice Phone: 507-238-8555
Practice Fax:

Directions to “ PERRY BERHOW P.A.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.