| Dr Jake Richard Powell, MD | |
|
1001 E Superior St, Suite L401, Duluth, MN 55802-2207 | |
| (218) 249-7960 | |
| (218) 249-7997 |
| Full Name | Dr Jake Richard Powell |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 25 Years |
| Location | 1001 E Superior St, Duluth, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043260524 | NPI | - | NPPES |
| 478948200 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 43769 (Minnesota) | Secondary |
| 208M00000X | Hospitalist | 43769 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake Richard Powell, MD 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-7960 | Dr Jake Richard Powell, MD 1001 E Superior St, Suite L401, Duluth, MN 55802-2207 Ph: (218) 249-7960 |
Amy Marie Larson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Steven Egan Baker, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 4212 Grand Ave, Duluth, MN 55807 Phone: 218-786-3500 Fax: 218-786-3513 | |
Dr. Matthew Charles Eidenschink, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Erin Kathleen Rust, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 400 East Third Street, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Dr. Joshua Garret Farley, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-723-1112 | |
Dr. Christopher James Baker, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Andrew D Broadmoore, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 |