| Jeri Leah Vergeldt, | |
|
2501 Keenan Dr, International Falls, MN 56649-2181 | |
| (218) 283-9431 | |
| (218) 285-6275 |
| Full Name | Jeri Leah Vergeldt |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 2501 Keenan Dr, International Falls, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215961560 | NPI | - | NPPES |
| 943365100 | Medicaid | MN | |
| 32404700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35532 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Virginia | Virginia, MN | Hospital |
| Rainy Lake Medical Center | International falls, MN | Hospital |
| Good Samaritan Society - International Falls | International falls, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Essentia Health Virginia Llc | 7810149002 | 65 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeri Leah Vergeldt, 2501 Keenan Dr, International Falls, MN 56649-2181 Ph: (218) 283-9431 | Jeri Leah Vergeldt, 2501 Keenan Dr, International Falls, MN 56649-2181 Ph: (218) 283-9431 |
Anthony Christian Stone, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 | |
Dr. Scharazard Lee Gray, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 3rd Ave, International Falls, MN 56649 Phone: 813-310-9346 Fax: 888-972-4098 | |
Dr. Eric Koperda, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1026 3rd St, International Falls, MN 56649 Phone: 218-283-2444 Fax: 218-283-6111 | |
Shailynn Nicole Shipley, APRN, CNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Drive, International Falls, MN 56649 Phone: 218-283-9431 | |
Dr. Jacelyn Paige Davidson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 | |
Samantha Ann Crossley, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2501 Keenan Dr, International Falls, MN 56649 Phone: 218-283-9431 |