Centracare Health - Paynesville Clinic - Medicare Primary Care in Paynesville, MN

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Centracare Health - Paynesville Clinic is a medicare enrolled primary clinic (Clinic/center - Rural Health) in Paynesville, Minnesota. The current practice location for Centracare Health - Paynesville Clinic is 200 W 1st St, Paynesville, Minnesota. For appointments, you can reach them via phone at (320) 243-3767. The mailing address for Centracare Health - Paynesville Clinic is 200 W 1st St, Paynesville, Minnesota and phone number is (320) 243-3767.

Centracare Health - Paynesville Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1629402516. 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 (320) 243-3767.

Contact Information

Centracare Health - Paynesville Clinic
200 W 1st St
Paynesville
MN 56362-1445
(320) 243-3767
(320) 243-3174

Map and Direction


Primary Care Clinic Profile

Full NameCentracare Health - Paynesville Clinic
SpecialityClinic/Center
Location200 W 1st St, Paynesville, Minnesota
Authorized Official Name and PositionMichael A. Blair (SR. VICE PRESIDENT AND CFO)
Authorized Official Contact3202555665
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centracare Health - Paynesville Clinic
200 W 1st St
Paynesville
MN 56362-1445

Ph: (320) 243-3767		Centracare Health - Paynesville Clinic
200 W 1st St
Paynesville
MN 56362-1445

Ph: (320) 243-3767

NPI Details:

NPI Number1629402516
Provider Enumeration Date08/27/2013
Last Update Date10/10/2019

Medicare PECOS Information:

Medicare PECOS PAC ID1153555719
Medicare Enrollment IDO20140909002390

Medical Identifiers

Medical identifiers for Centracare Health - Paynesville Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629402516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
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. Centracare Health - Paynesville Clinic acts as a billing entity for following providers:
Provider NameJohn E Mertz
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1346217874
PECOS PAC ID: 2769396373
Enrollment ID: I20031118000430
Provider NameJulie K Youngs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538136882
PECOS PAC ID: 6608777677
Enrollment ID: I20040114000418
Provider NameRandall J Zimmerman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821005638
PECOS PAC ID: 8921995259
Enrollment ID: I20040302000604
Provider NameLawrence G Strate
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124052782
PECOS PAC ID: 1153316302
Enrollment ID: I20040416001139
Provider NameMelissa L Dols
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1144288754
PECOS PAC ID: 7719969641
Enrollment ID: I20040604000026
Provider NameJulie A Klasen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255312955
PECOS PAC ID: 2163499849
Enrollment ID: I20040913000763
Provider NameTimothy L Malling
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548277668
PECOS PAC ID: 2567356967
Enrollment ID: I20041123001084
Provider NameChristopher D Leville
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1699776310
PECOS PAC ID: 0749221398
Enrollment ID: I20050513000550
Provider NamePaul E Vangorp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639160898
PECOS PAC ID: 8729020375
Enrollment ID: I20050524001342
Provider NameMaria D Mallory
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689664344
PECOS PAC ID: 8628008109
Enrollment ID: I20050815000536
Provider NameKurt A Martinson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1245281302
PECOS PAC ID: 8820066889
Enrollment ID: I20060605000148
Provider NameTheodore W Ruzanic
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1932273943
PECOS PAC ID: 6002816113
Enrollment ID: I20070112000338
Provider NameMariola Z Kruk Czapiewska
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1306948518
PECOS PAC ID: 3779584230
Enrollment ID: I20070712000129
Provider NameTimothy M Peterson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1306055355
PECOS PAC ID: 9436250099
Enrollment ID: I20070726000205
Provider NameKurt A Habben
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1972794865
PECOS PAC ID: 3476629106
Enrollment ID: I20080904000148
Provider NameDeborah F Libbesmeier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073761557
PECOS PAC ID: 7719045962
Enrollment ID: I20081017000078
Provider NameJoel E Dunn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922299197
PECOS PAC ID: 8628130366
Enrollment ID: I20081215000450
Provider NameNathaniel Reuter
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1457479446
PECOS PAC ID: 8921199373
Enrollment ID: I20090924000337
Provider NameJane K Willett
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548236292
PECOS PAC ID: 4789727769
Enrollment ID: I20100130000350
Provider NameChristian P Schmidt
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1497745152
PECOS PAC ID: 1052455318
Enrollment ID: I20100224000643
Provider NamePaul Joseph Mitchell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1770573420
PECOS PAC ID: 4284779174
Enrollment ID: I20100303000430
Provider NameGregory S Parries
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1891739538
PECOS PAC ID: 8628964756
Enrollment ID: I20100504000877
Provider NameApril M Stadtler
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821360579
PECOS PAC ID: 1153576988
Enrollment ID: I20130228000474
Provider NameAndrea M Lundeen
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730344664
PECOS PAC ID: 8426290826
Enrollment ID: I20130814000976
Provider NameAngela L Beyerl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457793531
PECOS PAC ID: 5496989634
Enrollment ID: I20131002000031
Provider NameMichael J Beste
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700220712
PECOS PAC ID: 2668699109
Enrollment ID: I20140807000616
Provider NameJennifer L Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316379597
PECOS PAC ID: 2860703279
Enrollment ID: I20150625001016
Provider NameAlicia M Glimsdal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225449192
PECOS PAC ID: 8426366675
Enrollment ID: I20151007002875
Provider NameRebecca K Stepan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336409507
PECOS PAC ID: 7810206984
Enrollment ID: I20151013000818
Provider NameAngie L Paschke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518410612
PECOS PAC ID: 2466732789
Enrollment ID: I20161202001222
Provider NameJanelle M Terhaar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144758228
PECOS PAC ID: 4284905787
Enrollment ID: I20170802000009
Provider NameChristopher R Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447679188
PECOS PAC ID: 1951528652
Enrollment ID: I20170808002393
Provider NameDaniel B Pickett
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1174866644
PECOS PAC ID: 9133475478
Enrollment ID: I20180628003150
Provider NameDamon M Campbell
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1518285816
PECOS PAC ID: 3375771744
Enrollment ID: I20180716000172
Provider NameClarence O Ojo
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1053650630
PECOS PAC ID: 3072747021
Enrollment ID: I20180810003100
Provider NameJennifer R Tomford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346727211
PECOS PAC ID: 6103176417
Enrollment ID: I20180907001267
Provider NameRyan O Mareck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508344391
PECOS PAC ID: 8921359613
Enrollment ID: I20180919001619
Provider NameElaine M Thelen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720565617
PECOS PAC ID: 4880947928
Enrollment ID: I20181019000673
Provider NameNicole J Lyons
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1013336106
PECOS PAC ID: 0143525303
Enrollment ID: I20190731001185
Provider NameKristin M Pomplun
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104467935
PECOS PAC ID: 2769811470
Enrollment ID: I20200401000514
Provider NameWade E Paulson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1447645916
PECOS PAC ID: 1355656984
Enrollment ID: I20200526000075
Provider NameSade M Finn
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1578099545
PECOS PAC ID: 5799057899
Enrollment ID: I20200609001866
Provider NameGinelle R Zimmerman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174055321
PECOS PAC ID: 8224300405
Enrollment ID: I20200805002213
Provider NameDaniel J O'connor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093248536
PECOS PAC ID: 7517237357
Enrollment ID: I20200826003563
Provider NameNicole L Stommes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407047640
PECOS PAC ID: 7012336845
Enrollment ID: I20200929001021
Provider NameCrystal L Fleischhacker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356956601
PECOS PAC ID: 5698187185
Enrollment ID: I20201207000657
Provider NameSamuel T Burns
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922428077
PECOS PAC ID: 1254653595
Enrollment ID: I20210222000809
Provider NameRobert H Krieger
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1912367103
PECOS PAC ID: 0143625749
Enrollment ID: I20210819002716
Provider NameElizabeth A Tacl
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1093194706
PECOS PAC ID: 7618289554
Enrollment ID: I20210923003000
Provider NameLindsey M Beckman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013686955
PECOS PAC ID: 9830587047
Enrollment ID: I20211020002024
Provider NameJennifer K Lund
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023780335
PECOS PAC ID: 1153710306
Enrollment ID: I20211110000882
Provider NameBashir S Moallin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144840463
PECOS PAC ID: 6608299821
Enrollment ID: I20220510002368
Provider NameLisa N Angell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760142046
PECOS PAC ID: 8325425838
Enrollment ID: I20220520002055
Provider NameWesley J Halseth
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1891227971
PECOS PAC ID: 3678844867
Enrollment ID: I20220921002720
Provider NameKayla Beckmann
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013637990
PECOS PAC ID: 4587035316
Enrollment ID: I20230113001778
Provider NameMichael Kihiu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578275798
PECOS PAC ID: 3072985936
Enrollment ID: I20230202002719
Provider NameSydni Imel
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689034027
PECOS PAC ID: 3870977267
Enrollment ID: I20230707001671
Provider NameAustin Grant Hewitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699451740
PECOS PAC ID: 0446610653
Enrollment ID: I20230720000212
Provider NameJason Hogge
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1952044927
PECOS PAC ID: 5496134041
Enrollment ID: I20240103000095
Provider NameMiranda R Proell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154160422
PECOS PAC ID: 3678015401
Enrollment ID: I20240609000122

Reviews and Comments


Clinic/Center in Paynesville, MN

Branta Home & Community Supports Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 242 Spruce St, Paynesville, MN 56362
Phone: 320-380-4898    

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.