Avera Clinic Of Ellendale - Medicare Primary Care in Ellendale, ND

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Avera Clinic Of Ellendale is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Ellendale, North Dakota. The current practice location for Avera Clinic Of Ellendale is 240 Main St, Ellendale, North Dakota. For appointments, you can reach them via phone at (701) 349-3666. The mailing address for Avera Clinic Of Ellendale is Po Box 86370, Sioux Falls, South Dakota and phone number is (605) 322-4933.

Avera Clinic Of Ellendale is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1760423057. 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 (701) 349-3666.

Contact Information

Avera Clinic Of Ellendale
240 Main St
Ellendale
ND 58436
(701) 349-3666
(701) 349-4945

Map and Direction


Primary Care Clinic Profile

Full NameAvera Clinic Of Ellendale
SpecialityClinic/Center
Location240 Main St, Ellendale, North Dakota
Authorized Official Name and PositionDaniel J Bjerknes (PRESIDENT/CEO)
Authorized Official Contact6056225125
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Avera Clinic Of Ellendale
Po Box 86370
Sioux Falls
SD 57118-6370

Ph: (605) 322-4933		Avera Clinic Of Ellendale
240 Main St
Ellendale
ND 58436

Ph: (701) 349-3666

NPI Details:

NPI Number1760423057
Provider Enumeration Date06/09/2006
Last Update Date05/22/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6406764927
Medicare Enrollment IDO20050726000602

Medical Identifiers

Medical identifiers for Avera Clinic Of Ellendale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760423057NPI-NPPES
1451171MedicaidND
1009046MedicaidSD
N70860OtherNDMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health (* (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. Avera Clinic Of Ellendale acts as a billing entity for following providers:
Provider NameDonald J Frisco
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1255337846
PECOS PAC ID: 1355349531
Enrollment ID: I20080414000480
Provider NameJames B Macdougall
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1235135823
PECOS PAC ID: 6204729320
Enrollment ID: I20100915000981
Provider NameDebra K Vivatson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720355233
PECOS PAC ID: 5991968638
Enrollment ID: I20120517000011
Provider NameJonathan J Olson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881981561
PECOS PAC ID: 1759500192
Enrollment ID: I20150120000376
Provider NameJessica A Bierschbach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790160570
PECOS PAC ID: 3375859507
Enrollment ID: I20151012001381
Provider NameGarret M Wobst
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1124376389
PECOS PAC ID: 0941448351
Enrollment ID: I20170728000554
Provider NamePauline M Conway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710338892
PECOS PAC ID: 1052606522
Enrollment ID: I20180202002099
Provider NameMaria E Jungemann
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1184069460
PECOS PAC ID: 0143456509
Enrollment ID: I20180914002079
Provider NameSarah A Siebert
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760968085
PECOS PAC ID: 8325391063
Enrollment ID: I20181030003408
Provider NameSarah E Frauenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750943783
PECOS PAC ID: 2062845712
Enrollment ID: I20191210003020
Provider NameKelsey J Cunningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184218208
PECOS PAC ID: 5294144606
Enrollment ID: I20210513002970
Provider NameKendra D Waldner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770299406
PECOS PAC ID: 1254705882
Enrollment ID: I20231006001034

Reviews and Comments


Clinic/Center in Ellendale, ND

Sanford Health Ellendale Clinic
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 141 Main Street, Ellendale, ND 58436
Phone: 701-349-3331    Fax: 701-349-3212

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.