| Jeffrey B Rapp, MD | |
|
Community Memorial Hospital, 512 Skyline Blvd, Cloquet, MN 55720-1199 | |
| (218) 879-4641 | |
| (218) 927-4130 |
| Full Name | Jeffrey B Rapp |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | Community Memorial Hospital, Cloquet, 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 |
|---|---|---|---|
| 1386612653 | NPI | - | NPPES |
| 080015004 | Other | MN | MEDICARE WPS - MCGREGOR C |
| 080009937 | Other | MN | MEDICARE WPS - HOSPITAL |
| 080011425 | Other | MN | MEDICARE WPS - AITKIN CLI |
| 829625100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 42724 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Memorial Hospital | Cloquet, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Medical Llc | 0648698290 | 20 |
| Legacy Medical Llc | 0648698290 | 20 |
| Legacy Primary Care Pllc | 5799223491 | 16 |
| 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 |
| Entity Name | Legacy Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619594637 PECOS PAC ID: 0648698290 Enrollment ID: O20210623000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey B Rapp, MD Community Memorial Hospital, 512 Skyline Blvd, Cloquet, MN 55720-1199 Ph: (218) 879-4641 | Jeffrey B Rapp, MD Community Memorial Hospital, 512 Skyline Blvd, Cloquet, MN 55720-1199 Ph: (218) 879-4641 |
David Scott Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 | |
James E Dudo, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720 Phone: 218-879-4641 |