Jeri Leah Vergeldt, | |
2501 Keenan Dr, International Falls, MN 56649-2181 | |
(218) 283-9431 | |
(218) 285-6275 |
Full Name | Jeri Leah Vergeldt |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 33 Years |
Location | 2501 Keenan Dr, International Falls, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215961560 | NPI | - | NPPES |
943365100 | Medicaid | MN | |
32404700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 35532 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Essentia Health Virginia | Virginia, MN | Hospital |
Rainy Lake Medical Center | International falls, MN | Hospital |
Good Samaritan Society - International Falls | International falls, MN | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Essentia Health Virginia Llc | 7810149002 | 55 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | Essentia Health Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
Mailing Address | Practice Location Address |
---|---|
Jeri Leah Vergeldt, 2501 Keenan Dr, International Falls, MN 56649-2181 Ph: (218) 283-9431 | Jeri Leah Vergeldt, 2501 Keenan Dr, International Falls, MN 56649-2181 Ph: (218) 283-9431 |
Anthony Christian Stone, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 | |
Dr. Scharazard Lee Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 3rd Ave, International Falls, MN 56649 Phone: 813-310-9346 Fax: 888-972-4098 | |
Dr. Eric Koperda, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1026 3rd St, International Falls, MN 56649 Phone: 218-283-2444 Fax: 218-283-6111 | |
Shailynn Nicole Shipley, APRN, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Drive, International Falls, MN 56649 Phone: 218-283-9431 | |
Dr. Jacelyn Paige Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 | |
Samantha Ann Crossley, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 |