Fond Du Lac Human Services Division - Medicare Primary Care in Cloquet, MN

Fond Du Lac Human Services Division is a medicare enrolled primary clinic (Clinic/center) in Cloquet, Minnesota. The current practice location for Fond Du Lac Human Services Division is 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, Minnesota. For appointments, you can reach them via phone at (218) 879-1227. The mailing address for Fond Du Lac Human Services Division is 927 Trettle Lane, Fond Du Lac Human Services Division, Cloquet, Minnesota and phone number is (218) 879-1227.

Fond Du Lac Human Services Division is licensed to practice in Minnesota (license number ). The clinic also participates in the medicare program and its NPI number is 1326053166. 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) 879-1227.

Contact Information

Fond Du Lac Human Services Division
927 Trettle Lane
Fond Du Lac Human Services Division
Cloquet
MN 55720
(218) 879-1227
(218) 878-3800

Map and Direction


Primary Care Clinic Profile

Full NameFond Du Lac Human Services Division
SpecialityClinic/Center
Location927 Trettle Lane, Cloquet, Minnesota
Authorized Official Name and PositionMarilyn Grover (ASSOCIATE DIRECTOR)
Authorized Official Contact2188791227
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fond Du Lac Human Services Division
927 Trettle Lane
Fond Du Lac Human Services Division
Cloquet
MN 55720

Ph: (218) 879-1227
Fond Du Lac Human Services Division
927 Trettle Lane
Fond Du Lac Human Services Division
Cloquet
MN 55720

Ph: (218) 879-1227

NPI Details:

NPI Number1326053166
Provider Enumeration Date07/30/2006
Last Update Date02/02/2016

Medicare PECOS Information:

Medicare PECOS PAC ID6608775879
Medicare Enrollment IDO20040107000308

Medical Identifiers

Medical identifiers for Fond Du Lac Human Services Division such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326053166NPI-NPPES
666815100MedicaidMN
666815101MedicaidMN
8F27FOOtherMNBCBS AODA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (Minnesota)Primary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder 012003 (Minnesota)Secondary
332B00000XDurable Medical Equipment & Medical Supplies 5985000001 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fond Du Lac Human Services Division acts as a billing entity for following providers:
Provider NameJonathan P Gervais
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1427093475
PECOS PAC ID: 4082506654
Enrollment ID: I20040407000586
Provider NameJeanne A Rice
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205090321
PECOS PAC ID: 5597730309
Enrollment ID: I20040830000506
Provider NameJennifer R Boyle
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1073582375
PECOS PAC ID: 8921074345
Enrollment ID: I20040908000244
Provider NameMagdalena Cecilia Reynolds-allen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114914769
PECOS PAC ID: 7315916558
Enrollment ID: I20040925000044
Provider NameGregory Scott Ash
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1275614463
PECOS PAC ID: 7810950409
Enrollment ID: I20041104000920
Provider NameDavid O Jorde
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396710174
PECOS PAC ID: 9537127444
Enrollment ID: I20041223000183
Provider NameTerry M Setterquist
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1275529018
PECOS PAC ID: 7810933504
Enrollment ID: I20050705000218
Provider NamePatrick F Boyle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669427894
PECOS PAC ID: 3173526035
Enrollment ID: I20060814000400
Provider NameBetsy Ann Nelson
Provider TypePractitioner - Qualified Audiologist
Provider IdentifiersNPI Number: 1386654812
PECOS PAC ID: 0446254379
Enrollment ID: I20060908000123
Provider NameTeresa L Backus
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669430625
PECOS PAC ID: 3274621362
Enrollment ID: I20071127000404
Provider NameJoey D Vork
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235319427
PECOS PAC ID: 9739269929
Enrollment ID: I20071228000468
Provider NameSuzanne Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386838712
PECOS PAC ID: 6204916430
Enrollment ID: I20071231000120
Provider NameMarla A Dewitt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164640918
PECOS PAC ID: 3072668680
Enrollment ID: I20090903000470
Provider NameArne Vainio
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013904655
PECOS PAC ID: 8426188798
Enrollment ID: I20100612000045
Provider NameLynne M Kosmach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154318798
PECOS PAC ID: 2860517356
Enrollment ID: I20100921001073
Provider NameLorraine L Turner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669469680
PECOS PAC ID: 9032303417
Enrollment ID: I20101029000599
Provider NameKathryn D Roufs
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326352535
PECOS PAC ID: 1850587387
Enrollment ID: I20101123001034
Provider NameJeffrey T Leno
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1316245608
PECOS PAC ID: 1557545654
Enrollment ID: I20110414000564
Provider NameCharles M Kendall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558358507
PECOS PAC ID: 2365619244
Enrollment ID: I20120117000582
Provider NameJennifer S Hall
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1700962768
PECOS PAC ID: 8426225350
Enrollment ID: I20120118000396
Provider NameMollie A Stapleton
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912961228
PECOS PAC ID: 5294902714
Enrollment ID: I20120124000196
Provider NameKirsten M Kortesma
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053644765
PECOS PAC ID: 6709034309
Enrollment ID: I20120924000009
Provider NameRoxie L Wefel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952699944
PECOS PAC ID: 5193975092
Enrollment ID: I20121031000413
Provider NameAmanda M Murray
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1396002291
PECOS PAC ID: 0143472928
Enrollment ID: I20121129000450
Provider NameChristine Rose Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700253903
PECOS PAC ID: 7810207057
Enrollment ID: I20151030001042
Provider NameAnna Rosenberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700243243
PECOS PAC ID: 6204131840
Enrollment ID: I20160219001164
Provider NameMaureen L Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447609425
PECOS PAC ID: 2062704216
Enrollment ID: I20160707001923
Provider NameJames Francis Conniff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639462997
PECOS PAC ID: 9830313048
Enrollment ID: I20161206000065
Provider NameKiara Margaret Krugler Levar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356751531
PECOS PAC ID: 8628396827
Enrollment ID: I20171017003053
Provider NameBarbara Ann Heikkila
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1811405368
PECOS PAC ID: 0143582924
Enrollment ID: I20180314000512
Provider NamePhilip Douglas Knese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225534977
PECOS PAC ID: 1153676333
Enrollment ID: I20180611002459
Provider NameLeann Mae Butler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598246142
PECOS PAC ID: 8123379047
Enrollment ID: I20180915000008
Provider NameCharity Reynolds
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912344722
PECOS PAC ID: 0042593006
Enrollment ID: I20181030002619
Provider NameShane Richardson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659710374
PECOS PAC ID: 4981987807
Enrollment ID: I20181120000528
Provider NameKelly Lynn Burgner
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326698531
PECOS PAC ID: 8224460357
Enrollment ID: I20191112000471
Provider NameMary June Owen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801947320
PECOS PAC ID: 5597667113
Enrollment ID: I20191204003137
Provider NameGrace Bennett
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1497117105
PECOS PAC ID: 4981035235
Enrollment ID: I20200520003308
Provider NameJeanne Nelson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1881133668
PECOS PAC ID: 3971934233
Enrollment ID: I20200521000136
Provider NameRochelle Marie Goodrich
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1124170840
PECOS PAC ID: 4789015066
Enrollment ID: I20200521000633
Provider NameSarah Michelle Carlson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700313558
PECOS PAC ID: 2668890641
Enrollment ID: I20200909000430
Provider NameAmanda Marie Dornhecker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245907195
PECOS PAC ID: 8921406612
Enrollment ID: I20211011001782
Provider NameAmanda Lyn Sundin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518105352
PECOS PAC ID: 0244621944
Enrollment ID: I20220106000157
Provider NameKatie Mae Jorgensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366105637
PECOS PAC ID: 9931592755
Enrollment ID: I20220131001091
Provider NameKari Stroik
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1033877501
PECOS PAC ID: 3971983727
Enrollment ID: I20220711001518
Provider NameJustin B Marty
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1366073827
PECOS PAC ID: 9234511015
Enrollment ID: I20220727001560
Provider NameAaron Bucci
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1194456178
PECOS PAC ID: 9436529476
Enrollment ID: I20230107000151
Provider NameEllise Caroline Braveheart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275930026
PECOS PAC ID: 8729459581
Enrollment ID: I20230115000011
Provider NameJennifer Sue Martineau
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1386375319
PECOS PAC ID: 3577934199
Enrollment ID: I20230118002473
Provider NameLuke Abraham Tervola
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609405240
PECOS PAC ID: 2961873138
Enrollment ID: I20230126000446
Provider NameMckala Kaitlin Crotteau
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942931944
PECOS PAC ID: 6507239795
Enrollment ID: I20230309001213
Provider NameBrooke Terasa Bond
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1114505989
PECOS PAC ID: 4587025846
Enrollment ID: I20230802003212
Provider NameRyan Dunkley
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184251019
PECOS PAC ID: 5294158614
Enrollment ID: I20230921002296
Provider NameJoellyn Steele
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1467902304
PECOS PAC ID: 1052760931
Enrollment ID: I20240111004552
Provider NameLindsey Saukko
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1528589488
PECOS PAC ID: 6002250222
Enrollment ID: I20240215002893
Provider NameJoseph Curran
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972976215
PECOS PAC ID: 0840634705
Enrollment ID: I20240219002671
Provider NameRebekah Rud
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851986970
PECOS PAC ID: 2769823954
Enrollment ID: I20240520001062
Provider NameMarie Gibson Adebisi
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1437636297
PECOS PAC ID: 2365984333
Enrollment ID: I20240605001863

Reviews and Comments


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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.