- Medicare Primary Care in Baudette, MN

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is a medicare enrolled primary clinic (Clinic/center) in Baudette, Minnesota. The current practice location for is 600 Main Ave S, Baudette, Minnesota. For appointments, you can reach them via phone at (218) 634-1655. The mailing address for is 600 Main Ave S, Baudette, Minnesota and phone number is (218) 634-1655.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1972799237. 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) 634-1655.

Contact Information

600 Main Ave S
Baudette
MN 56623-2855
(218) 634-1655
(218) 634-1094

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location600 Main Ave S, Baudette, Minnesota
Authorized Official Name and PositionJeffry A Stampohar (PRESIDENT)
Authorized Official Contact2186342120
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

600 Main Ave S
Baudette
MN 56623-2855

Ph: (218) 634-1655
600 Main Ave S
Baudette
MN 56623-2855

Ph: (218) 634-1655

NPI Details:

NPI Number1972799237
Provider Enumeration Date09/20/2007
Last Update Date02/27/2020

Medicare PECOS Information:

Medicare PECOS PAC ID5698687929
Medicare Enrollment IDO20031104000469

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972799237NPI-NPPES
199245700MedicaidMN

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. acts as a billing entity for following providers:
Provider NameDaniel Joseph Margo
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1083727200
PECOS PAC ID: 2860398187
Enrollment ID: I20031209000272
Provider NameJerry R Bartleson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1386686376
PECOS PAC ID: 0042102667
Enrollment ID: I20040625000032
Provider NameBruce M Dahlman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922058866
PECOS PAC ID: 3678559986
Enrollment ID: I20040628000518
Provider NameDavid Javier Lopez
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275629719
PECOS PAC ID: 0648241232
Enrollment ID: I20040805000876
Provider NameDaniel S Vechell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275634628
PECOS PAC ID: 8426005414
Enrollment ID: I20050401000291
Provider NameJustin Quo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285947556
PECOS PAC ID: 9931342714
Enrollment ID: I20130826001067
Provider NameFahd Arafat
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1538423637
PECOS PAC ID: 9436371556
Enrollment ID: I20141105000986
Provider NameDebra J Lukenbill
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1265456370
PECOS PAC ID: 5294622569
Enrollment ID: I20161107001365
Provider NameDawn Page
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124557103
PECOS PAC ID: 5294006581
Enrollment ID: I20170804000796
Provider NameJordan Reese
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194215830
PECOS PAC ID: 5092066654
Enrollment ID: I20180920000676
Provider NameScott Harris
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1740402858
PECOS PAC ID: 5890835334
Enrollment ID: I20190805002641
Provider NameMichelle Renee Lanning
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144876103
PECOS PAC ID: 6709115165
Enrollment ID: I20190910001928
Provider NameSarah J Gubbels
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043532252
PECOS PAC ID: 2062701329
Enrollment ID: I20211220002349
Provider NameSheila D Bullock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366943334
PECOS PAC ID: 8729342381
Enrollment ID: I20220422000536
Provider NameGina Ann Lablanc
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669198040
PECOS PAC ID: 3779952395
Enrollment ID: I20221202002647
Provider NameAllison Odell
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1861668972
PECOS PAC ID: 2264458942
Enrollment ID: I20230216002210
Provider NameSharon Falke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578591947
PECOS PAC ID: 8527024264
Enrollment ID: I20231024003575

Reviews and Comments


Clinic/Center in Baudette, MN


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 600 Main Ave S, Baudette, MN 56623
Phone: 218-634-1655    Fax: 218-634-1094

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.