Dr Shane Byrn Richardson, MD in Cloquet, MN

Dr Shane Byrn Richardson, MD is a medicare enrolled "Family Medicine" physician in Cloquet, Minnesota. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fond Du Lac Reservation Business Committee and his current practice location is 927 Trettel Ln, Cloquet, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 879-1227.

Dr Shane Byrn Richardson is licensed to practice in Minnesota (license number 64730) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1659710374.

Contact Information

	Dr Shane Byrn Richardson, MD
	927 Trettel Ln, Cloquet, MN 55720-1345
	(218) 879-1227
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Shane Byrn Richardson
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	927 Trettel Ln, Cloquet, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Shane Byrn Richardson graduated from medical school in 2011

NPI Data:

NPI Number: 1659710374
Provider Enumeration Date: 06/15/2013
Last Update Date: 01/29/2019

Medicare PECOS Information:

PECOS PAC ID: 4981987807
Enrollment ID: I20181120000528

Medical Identifiers

Medical identifiers for Dr Shane Byrn Richardson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659710374	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	R73957 (Arizona)	Secondary
207Q00000X	Family Medicine	64730 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospital	Duluth, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fond Du Lac Reservation Business Committee	6608775879	33

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Shane Byrn Richardson allows following entities to bill medicare on his behalf.

Entity Name	Fond Du Lac Reservation Business Committee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326053166 PECOS PAC ID: 6608775879 Enrollment ID: O20040107000308

Entity Name	Community Memorial Hospital Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shane Byrn Richardson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shane Byrn Richardson, MD 1105 101st Ave W, Duluth, MN 55808-1804 Ph: (612) 251-8798	Dr Shane Byrn Richardson, MD 927 Trettel Ln, Cloquet, MN 55720-1345 Ph: (218) 879-1227

Reviews and Comments

Family Medicine Doctors in Cloquet, MN

Mr. Arne Vainio, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2136
Dr. Darla J Vanheerde, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-9617
Stephen M Bockhold, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641
Kenneth M Ripp, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904
Dr. Shelly A Breyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 417 Skyline Blvd, Cloquet, MN 55720 Phone: 218-879-1271 Fax: 218-879-8904
Shannon Jean Wesley, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 512 Skyline Blvd, Community Memorial Hospital, Cloquet, MN 55720 Phone: 218-879-4641
Dr. Brigid Mary Pajunen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641

Dr Shane Byrn Richardson, MD - Medicare Family Practice in Cloquet, MN