Mary Jane Richter, is a medicare enrolled "Audiologist" provider in Detroit Lakes, Minnesota. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Sanford Medical Center Fargo and her current practice location is
1245 Washington Ave, Detroit Lakes, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 846-2000.
Mary Jane Richter is licensed to practice in Minnesota (license number 9066) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508109661.
Healthcare Provider's Profile
| Full Name | Mary Jane Richter |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 11 Years |
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| Location | 1245 Washington Ave, Detroit Lakes, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mary Jane Richter graduated from medical school in 2013
NPI Data:
- NPI Number: 1508109661
- Provider Enumeration Date: 03/27/2013
- Last Update Date: 01/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 3678713013
- Enrollment ID: I20130709000395
Medical Identifiers
Medical identifiers for Mary Jane Richter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508109661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 9066 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Medical Center Fargo | 8426967803 | 1085 |
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. Mary Jane Richter allows following entities to bill medicare on her behalf.
| Provider Name | Group Health Plan Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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| Provider Name | Sanford Clinic North |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1548532468
PECOS PAC ID: 4284546151
Enrollment ID: O20031209000264 |
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| Provider Name | Sanford Health Of Northern Minnesota |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442 |
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| Provider Name | Sanford Medical Center Fargo |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184917924
PECOS PAC ID: 8426967803
Enrollment ID: O20110701000031 |
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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. Mary Jane Richter 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 |
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Mary Jane Richter,
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Mary Jane Richter,
1245 Washington Ave,
Detroit Lakes, MN 56501-3905
Ph: (218) 846-2000 |
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