Jacob R Dutcher, MD - Medicare Cardiovascular Disease (cardiology) in St Cloud, MN

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Jacob R Dutcher, MD is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in St Cloud, Minnesota. He went to University Of Minnesota Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Centracare Clinic and his current practice location is 1200 Sixth Ave N, St Cloud, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 656-7020.

Jacob R Dutcher is licensed to practice in Minnesota (license number 43641) 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 1619000999.

Contact Information

Jacob R Dutcher, MD
1200 Sixth Ave N,
St Cloud, MN 56303-2735
(320) 656-7020
Not Available

Map and Direction




Physician's Profile

Full NameJacob R Dutcher
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience24 Years
Location1200 Sixth Ave N, St Cloud, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacob R Dutcher attended and graduated from University Of Minnesota Medical School in 2000
  NPI Data:
  • NPI Number: 1619000999
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 03/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981795754
  • Enrollment ID: I20070808000365

Medical Identifiers

Medical identifiers for Jacob R Dutcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619000999NPI-NPPES
NPIMedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 102900 (Minnesota)Secondary
207RI0011XInternal Medicine - Interventional Cardiology 43641 (Minnesota)Primary
207RC0000XInternal Medicine - Cardiovascular Disease 43641 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Cloud HospitalSaint cloud, MNHospital
Alomere HealthAlexandria, MNHospital
Carris Health LlcWillmar, MNHospital
Centracare Health - MonticelloMonticello, MNHospital
Tri County HospitalWadena, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395632

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. Jacob R Dutcher allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameAstera Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134305162
PECOS PAC ID: 2961395272
Enrollment ID: O20040202001082
Entity NameMille Lacs Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212699
PECOS PAC ID: 4789577834
Enrollment ID: O20040204000052
Entity NameAstera Health
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1477545333
PECOS PAC ID: 2961395272
Enrollment ID: O20060504000722
Entity NameCentracare Health System-nr Llc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1275872772
PECOS PAC ID: 3870739410
Enrollment ID: O20130426000215
Entity NameCentracare Health System-nr Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558600874
PECOS PAC ID: 3870739410
Enrollment ID: O20130515000683

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. Jacob R Dutcher 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 AddressPractice Location Address
Jacob R Dutcher, MD
1200 Sixth Ave N,
St Cloud, MN 56303-2735

Ph: (320) 656-7020		Jacob R Dutcher, MD
1200 Sixth Ave N,
St Cloud, MN 56303-2735

Ph: (320) 656-7020

Reviews and Comments


Internal Medicine Doctors in St Cloud, MN

Viorel Gheorghe, MD
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Medicare: Medicare Enrolled
Practice Location: 1900 Centra Care Circle, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5131    Fax: 320-240-2146
Dr. David G Benditt, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5131    
Alexander J Schad, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303
Phone: 320-252-5731    
Wesley Leland Lindquist, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 6th Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5131    Fax: 320-240-2118
Christopher Bruce Miller, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1406 Sixth Avenue North, St Cloud, MN 56303
Phone: 320-229-4901    Fax: 320-229-5160
Dr. Jessie Lee Kerns Roske, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-251-2700    
Paul L Marek, MD, FHM
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-240-2118

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.