Altru Clinic Crookston - Medicare Primary Care in Crookston, MN

Altru Clinic Crookston is a medicare enrolled primary clinic (Clinic/center) in Crookston, Minnesota. The current practice location for Altru Clinic Crookston is 400 S Minnesota St, Crookston, Minnesota. For appointments, you can reach them via phone at (218) 281-9100. The mailing address for Altru Clinic Crookston is 400 S Minnesota St, Crookston, Minnesota and phone number is (218) 281-9100.

Altru Clinic Crookston is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760494330. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (218) 281-9100.

Contact Information

Altru Clinic Crookston
400 S Minnesota St
Crookston
MN 56716-1808
(218) 281-9100
(218) 281-9189

Map and Direction


Primary Care Clinic Profile

Full NameAltru Clinic Crookston
SpecialityClinic/Center
Location400 S Minnesota St, Crookston, Minnesota
Authorized Official Name and PositionDerek Goebel (CHIEF FINANCIAL OFFICER)
Authorized Official Contact7017801470
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Altru Clinic Crookston
400 S Minnesota St
Crookston
MN 56716-1808

Ph: (218) 281-9100
Altru Clinic Crookston
400 S Minnesota St
Crookston
MN 56716-1808

Ph: (218) 281-9100

NPI Details:

NPI Number1760494330
Provider Enumeration Date08/12/2006
Last Update Date05/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID1355251604
Medicare Enrollment IDO20031110000135

Medical Identifiers

Medical identifiers for Altru Clinic Crookston such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760494330NPI-NPPES
CD9363OtherMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Altru Clinic Crookston acts as a billing entity for following providers:
Provider NameDavid R Moyer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912958448
PECOS PAC ID: 6305740465
Enrollment ID: I20031121000093
Provider NameTimothy S Yeh
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1912981887
PECOS PAC ID: 9335049279
Enrollment ID: I20040513000163
Provider NameRonald C Dorman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1750472767
PECOS PAC ID: 6507842473
Enrollment ID: I20040629001592
Provider NameValorie N Tuseth
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770679037
PECOS PAC ID: 2567449044
Enrollment ID: I20040701001524
Provider NameDaniel J Walsh
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1093801359
PECOS PAC ID: 2860479342
Enrollment ID: I20040701001578
Provider NameMackensie M Brandt
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1871712166
PECOS PAC ID: 3375519820
Enrollment ID: I20040907000302
Provider NamePeter A Bretzman
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1902884117
PECOS PAC ID: 4082528013
Enrollment ID: I20050222000031
Provider NameCurtis C Krueger
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1952341026
PECOS PAC ID: 3274501192
Enrollment ID: I20050321000137
Provider NameChristopher A Jackson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1073591012
PECOS PAC ID: 7315851094
Enrollment ID: I20050519000455
Provider NameMark Veldman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1538188511
PECOS PAC ID: 6305889478
Enrollment ID: I20050609000274
Provider NameMarcia E Kempton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548293350
PECOS PAC ID: 1658316054
Enrollment ID: I20050627000460
Provider NameJeffrey S Phelan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1497734123
PECOS PAC ID: 1254245954
Enrollment ID: I20051007000143
Provider NameRose B N Brandt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033216817
PECOS PAC ID: 3274570528
Enrollment ID: I20051007000583
Provider NameRonald W Brummer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396842175
PECOS PAC ID: 6800806324
Enrollment ID: I20060428000121
Provider NameBernie J Dallum
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023109139
PECOS PAC ID: 1254323272
Enrollment ID: I20060428000188
Provider NameWilliam N Hagen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639260649
PECOS PAC ID: 1355351891
Enrollment ID: I20060428000273
Provider NameRalph H Herseth
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679664478
PECOS PAC ID: 0244132355
Enrollment ID: I20060428000277
Provider NameLuis G Jain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073603940
PECOS PAC ID: 4981614328
Enrollment ID: I20060428000282
Provider NameMartha J Lystad
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811088610
PECOS PAC ID: 2860402211
Enrollment ID: I20060428000377
Provider NameBryon D Vande Wege
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1720174089
PECOS PAC ID: 9133139595
Enrollment ID: I20060428000466
Provider NameGlen Y Yoshida
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1710073077
PECOS PAC ID: 1850301219
Enrollment ID: I20060428000479
Provider NameDavid P Lambert
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1154384527
PECOS PAC ID: 9436162120
Enrollment ID: I20060725000249
Provider NameAnne M Nygaard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386653293
PECOS PAC ID: 4688677339
Enrollment ID: I20060817000612
Provider NameMevan N Wijetunga
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1457308645
PECOS PAC ID: 3072521640
Enrollment ID: I20060818000028
Provider NameMatthew J Loe
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1861419293
PECOS PAC ID: 2769486117
Enrollment ID: I20060828000166
Provider NameChad Eugene Boen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215034095
PECOS PAC ID: 9133117443
Enrollment ID: I20070205000622
Provider NameShoua Lo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1689761785
PECOS PAC ID: 4981606563
Enrollment ID: I20070228000315
Provider NamePatrick W O'leary
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1881672632
PECOS PAC ID: 1254425010
Enrollment ID: I20070924000690
Provider NameAndrew Hartigan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093793234
PECOS PAC ID: 5294649976
Enrollment ID: I20070928000639
Provider NameKarleen M Thompson
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1013136316
PECOS PAC ID: 3476649567
Enrollment ID: I20071022000037
Provider NameRoni L Sperle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730379348
PECOS PAC ID: 6709977218
Enrollment ID: I20080408000428
Provider NameTrent E Siemers
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326154956
PECOS PAC ID: 6709822034
Enrollment ID: I20080523000193
Provider NameMichael S Rosenberg
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023097755
PECOS PAC ID: 2062326762
Enrollment ID: I20080530000731
Provider NamePaul F Mulcahy
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467431262
PECOS PAC ID: 9234043928
Enrollment ID: I20080531000071
Provider NameSteven C Hommeyer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1356329593
PECOS PAC ID: 8325952005
Enrollment ID: I20080602000034
Provider NameRichard N Aizpuru
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1558367789
PECOS PAC ID: 1951215979
Enrollment ID: I20080602000074
Provider NameTodd M Arsenault
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902890726
PECOS PAC ID: 4688588619
Enrollment ID: I20080602000082
Provider NameJeffrey M Barkmeier
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1871571083
PECOS PAC ID: 4385558311
Enrollment ID: I20080602000101
Provider NameBlake A Carlson
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548249956
PECOS PAC ID: 8022922780
Enrollment ID: I20080602000174
Provider NameJohn M Caspers
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750369989
PECOS PAC ID: 2567376221
Enrollment ID: I20080602000293
Provider NameMatthew T Baldwin
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487632725
PECOS PAC ID: 5496669426
Enrollment ID: I20080602000307
Provider NameTimothy Goertzen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1821076068
PECOS PAC ID: 3577477256
Enrollment ID: I20080602000518
Provider NameJohn P Knoedler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1023097078
PECOS PAC ID: 7911811609
Enrollment ID: I20080603000224
Provider NameMatthew J Roller
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1033283379
PECOS PAC ID: 6507866977
Enrollment ID: I20080611000685
Provider NameAnne Weisensee
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992784755
PECOS PAC ID: 8729992433
Enrollment ID: I20080620000583
Provider NameDavid Drake
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1528046612
PECOS PAC ID: 7517871288
Enrollment ID: I20080620000617
Provider NameMarla R Love
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1821109422
PECOS PAC ID: 0042119125
Enrollment ID: I20080709000710
Provider NameMatthew J Spivey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1790743268
PECOS PAC ID: 5597729616
Enrollment ID: I20080822000685
Provider NameJoseph V Lazzara
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609844166
PECOS PAC ID: 9032287149
Enrollment ID: I20081002000345
Provider NameBrenda K Amundson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013163922
PECOS PAC ID: 0840350708
Enrollment ID: I20081121000379
Provider NameAnatolie A Usatii
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306890710
PECOS PAC ID: 4587660253
Enrollment ID: I20090106000363
Provider NameJacqueline R Devine Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336285931
PECOS PAC ID: 9234293929
Enrollment ID: I20090123000569
Provider NameJames K Sperle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1972699239
PECOS PAC ID: 4688632516
Enrollment ID: I20090421000333
Provider NameKevin C Buettner
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1942480629
PECOS PAC ID: 2163511254
Enrollment ID: I20090709000771
Provider NameScott A Fontaine
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801956792
PECOS PAC ID: 1759370307
Enrollment ID: I20090924000357
Provider NameRabeea Aboufakher
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1881896223
PECOS PAC ID: 8325199508
Enrollment ID: I20100415000922
Provider NameWade A Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619290590
PECOS PAC ID: 1850429978
Enrollment ID: I20100514000725
Provider NameRebecca M Westereng
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1457408239
PECOS PAC ID: 7911006580
Enrollment ID: I20100618000407
Provider NameDavid P Sundberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750693784
PECOS PAC ID: 8325162936
Enrollment ID: I20100903000393
Provider NameAndrew Gasparini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700011459
PECOS PAC ID: 0042407256
Enrollment ID: I20101213001203
Provider NameJames Vodvarka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518955210
PECOS PAC ID: 9335191600
Enrollment ID: I20110124000071
Provider NameBarbara A Norman
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1043422611
PECOS PAC ID: 6204865157
Enrollment ID: I20110131000883
Provider NameJennifer M Peterson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144333022
PECOS PAC ID: 5799966099
Enrollment ID: I20110218000982
Provider NameGrant R Seeger
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1427252014
PECOS PAC ID: 2365593555
Enrollment ID: I20110527000455
Provider NameJeremy Gardner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1881886497
PECOS PAC ID: 2668664491
Enrollment ID: I20111116000467
Provider NameAnn L Mason
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952696049
PECOS PAC ID: 6406025345
Enrollment ID: I20120530000568
Provider NameOlumide Ajayi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821228255
PECOS PAC ID: 4183897689
Enrollment ID: I20120710000017
Provider NameMark G Bartlett
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134162118
PECOS PAC ID: 0244217487
Enrollment ID: I20120821000777
Provider NameTodor N Dentchev
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1669563771
PECOS PAC ID: 1254468663
Enrollment ID: I20121101000492
Provider NameLavanya Bhoopathy
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891027884
PECOS PAC ID: 4082878012
Enrollment ID: I20121129000449
Provider NameAdetola Tolulola Haastrup
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1932174588
PECOS PAC ID: 9436176864
Enrollment ID: I20121129000646
Provider NameMichael C Stephens
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932153830
PECOS PAC ID: 5193782365
Enrollment ID: I20121219000522
Provider NameGloria A Ayuck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124391461
PECOS PAC ID: 2769635135
Enrollment ID: I20130115000247
Provider NameBeth Ann M Nuelle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003887076
PECOS PAC ID: 3274572144
Enrollment ID: I20130308000376
Provider NameAlicia M Wolfgram
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851664304
PECOS PAC ID: 1254594765
Enrollment ID: I20130516000684
Provider NameMegan J Thorson
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1871862417
PECOS PAC ID: 3072770460
Enrollment ID: I20130627000167
Provider NameShivali Devgon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154632503
PECOS PAC ID: 9830339365
Enrollment ID: I20130705000447
Provider NameLarry Sokolic
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265559785
PECOS PAC ID: 3779723697
Enrollment ID: I20130717000122
Provider NameMari Charisse B Trinidad
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1336386093
PECOS PAC ID: 3476717729
Enrollment ID: I20130723000205
Provider NameJason S Go
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1447475637
PECOS PAC ID: 7719156041
Enrollment ID: I20130729000438
Provider NameMikhail Kirnus
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1922272228
PECOS PAC ID: 2860547452
Enrollment ID: I20130924000529
Provider NameAdam M Mcgauvran
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972858652
PECOS PAC ID: 9234363284
Enrollment ID: I20131008000114
Provider NameKelly J Stauss Carlson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306126255
PECOS PAC ID: 0749454114
Enrollment ID: I20131219000257
Provider NameStephanie A Kaiser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922199728
PECOS PAC ID: 5698798510
Enrollment ID: I20140115000622
Provider NameRebecca K Novacek
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1861628711
PECOS PAC ID: 1355581315
Enrollment ID: I20140306001407
Provider NameDanika A Warner Noreen
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1922201029
PECOS PAC ID: 4880861038
Enrollment ID: I20140408000235
Provider NameJennifer A Verkuehlen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255773867
PECOS PAC ID: 3678709011
Enrollment ID: I20140425001145
Provider NameSeth Dorman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841205689
PECOS PAC ID: 2567564420
Enrollment ID: I20140428001244
Provider NameDaniel R Rustvang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902992266
PECOS PAC ID: 7911044300
Enrollment ID: I20140429000267
Provider NameAndrew Bunney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1114246113
PECOS PAC ID: 5597998096
Enrollment ID: I20140508000511
Provider NameJana Zwilling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184873911
PECOS PAC ID: 7214005917
Enrollment ID: I20140529000004
Provider NameAmanda J Dudgeon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225316433
PECOS PAC ID: 2668643115
Enrollment ID: I20140530000017
Provider NameSara Nausheen
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1821261256
PECOS PAC ID: 8527236439
Enrollment ID: I20140611001763
Provider NameNkechinyere N Ijioma
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1689872756
PECOS PAC ID: 9638318439
Enrollment ID: I20140617001448
Provider NameChristian G Khairallah
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306057450
PECOS PAC ID: 3072638279
Enrollment ID: I20140927000014
Provider NameJoann J Olson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316039746
PECOS PAC ID: 9638198161
Enrollment ID: I20140927000214
Provider NameScott D Charette
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730274085
PECOS PAC ID: 4385771823
Enrollment ID: I20140930000906
Provider NameRoshan Ghimire
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184936072
PECOS PAC ID: 9335391135
Enrollment ID: I20141205000648
Provider NameEllen K Feldman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1831280841
PECOS PAC ID: 9830243906
Enrollment ID: I20141211000803
Provider NameLeanna M Lauer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1467877506
PECOS PAC ID: 3375766256
Enrollment ID: I20150114001292
Provider NameAdam F Nicholson
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1063619237
PECOS PAC ID: 6608055942
Enrollment ID: I20150210000709
Provider NameMegan H Askelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740692482
PECOS PAC ID: 2264757442
Enrollment ID: I20150210001640
Provider NameJody B Treuer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790871051
PECOS PAC ID: 8123210077
Enrollment ID: I20150212001915
Provider NameIqbal Masood
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1013176759
PECOS PAC ID: 3375616881
Enrollment ID: I20150217001675
Provider NameAshok K Bansal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1861599649
PECOS PAC ID: 5991832271
Enrollment ID: I20150218001603
Provider NameKevin G Panico
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1225120652
PECOS PAC ID: 0143247205
Enrollment ID: I20150219001577
Provider NameKelly M Leach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972836385
PECOS PAC ID: 9931248218
Enrollment ID: I20150303000846
Provider NameFatima S Khan
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1235157637
PECOS PAC ID: 1456247196
Enrollment ID: I20150318001249
Provider NameJon F Raymond
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508958935
PECOS PAC ID: 9133245442
Enrollment ID: I20150324000874
Provider NameTheresa A Lalonde
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912098716
PECOS PAC ID: 2365467339
Enrollment ID: I20150326000093
Provider NameSamantha M Mcentee
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1558676544
PECOS PAC ID: 8325217060
Enrollment ID: I20150330001130
Provider NameLindsey G Miskavige
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1306065602
PECOS PAC ID: 1456581636
Enrollment ID: I20150421001733
Provider NameKamrin L Macki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073605408
PECOS PAC ID: 7214053545
Enrollment ID: I20150504000959
Provider NameStephanie Suedel
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1053505214
PECOS PAC ID: 4486973815
Enrollment ID: I20150506000327
Provider NamePierre A Barbot
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1184821985
PECOS PAC ID: 0941470413
Enrollment ID: I20150507002548
Provider NameNancy K Lacina
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770702078
PECOS PAC ID: 5395065460
Enrollment ID: I20150514000070
Provider NameJody L Paulson
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1083760706
PECOS PAC ID: 7012237019
Enrollment ID: I20150514001464
Provider NameAllan M Nielsen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063430122
PECOS PAC ID: 1759414253
Enrollment ID: I20150521002705
Provider NameJon R Shereck
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1316931702
PECOS PAC ID: 7719913185
Enrollment ID: I20150629002243
Provider NameAshley K Kliner
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1285041277
PECOS PAC ID: 5991922106
Enrollment ID: I20150716001710
Provider NameBradley C Wehe
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558424150
PECOS PAC ID: 5092911214
Enrollment ID: I20150717001301
Provider NameChristine M Hanson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336527258
PECOS PAC ID: 6204140346
Enrollment ID: I20150803000615
Provider NameDavid B Nuelle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1376737536
PECOS PAC ID: 9436230364
Enrollment ID: I20150804006054
Provider NameTrica G De La Hunt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104224336
PECOS PAC ID: 3274848635
Enrollment ID: I20150813010615
Provider NameJessica L Simmons
Provider TypePractitioner - Family Practice
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Reviews and Comments


Clinic/Center in Crookston, MN

Riverview Healthcare Association
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 323 S Minnesota St, Crookston, MN 56716
Phone: 800-743-6551    Fax: 218-281-9509

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.