Legacy Primary Care Pllc - Medicare Primary Care in Grand Forks, ND

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Legacy Primary Care Pllc is a medicare enrolled primary clinic (Family Medicine - Adult Medicine) in Grand Forks, North Dakota. The current practice location for Legacy Primary Care Pllc is 2100 S Columbia Rd Ste 114, Grand Forks, North Dakota. For appointments, you can reach them via phone at (701) 516-4637. The mailing address for Legacy Primary Care Pllc is 19580 Scout Ln, Saint Onge, South Dakota and phone number is () -.

Legacy Primary Care Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265277115. 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) 516-4637.

Contact Information

Legacy Primary Care Pllc
2100 S Columbia Rd Ste 114
Grand Forks
ND 58201-5895
(701) 516-4637
(877) 651-1381

Map and Direction


Primary Care Clinic Profile

Full NameLegacy Primary Care Pllc
SpecialityFamily Medicine
Location2100 S Columbia Rd Ste 114, Grand Forks, North Dakota
Authorized Official Name and PositionHeidi Williams (CRED SPEC)
Authorized Official Contact6058468239
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Legacy Primary Care Pllc
19580 Scout Ln
Saint Onge
SD 57779-7913

Ph: () -		Legacy Primary Care Pllc
2100 S Columbia Rd Ste 114
Grand Forks
ND 58201-5895

Ph: (701) 516-4637

NPI Details:

NPI Number1265277115
Provider Enumeration Date07/01/2024
Last Update Date07/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5799223491
Medicare Enrollment IDO20240813001785

Medical Identifiers

Medical identifiers for Legacy Primary Care Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265277115NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine (* (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. Legacy Primary Care Pllc acts as a billing entity for following providers:
Provider NameRebecca Kreis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164775441
PECOS PAC ID: 9335392232
Enrollment ID: I20121228000308
Provider NameCynthia L Wald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912498593
PECOS PAC ID: 7719237932
Enrollment ID: I20180910003123
Provider NameChelsea Vollmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871154211
PECOS PAC ID: 9739418435
Enrollment ID: I20190905001406
Provider NameMichelle Jill Rexine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598413312
PECOS PAC ID: 4486040946
Enrollment ID: I20220408002035
Provider NameKaitlyn Marie Perez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740919224
PECOS PAC ID: 4587045885
Enrollment ID: I20220718003080
Provider NameTraci Specht
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144908625
PECOS PAC ID: 0648631622
Enrollment ID: I20230808000181
Provider NameAndrea Marie Jorgenson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326810177
PECOS PAC ID: 0345692216
Enrollment ID: I20240116002736
Provider NameAnna Rose Wiemken
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982433082
PECOS PAC ID: 3971034257
Enrollment ID: I20240927002228
Provider NameJeffrey Rapp
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386612653
PECOS PAC ID: 4789655267
Enrollment ID: I20241018002485

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.