| Robert D Lefsrud, MD | |
|
1024 N Main St, Rice Lake, WI 54868-1236 | |
| (715) 234-8151 | |
| (715) 234-9750 |
| Full Name | Robert D Lefsrud |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 1024 N Main St, Rice Lake, Wisconsin |
| 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 |
|---|---|---|---|
| 1144208273 | NPI | - | NPPES |
| 131314200 | Medicaid | MN | |
| 32370800 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 38540 (Minnesota) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 43958 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Divine Savior Healthcare | Portage, WI | Hospital |
| Cambridge Medical Center | Cambridge, MN | Hospital |
| Firstlight Health System | Mora, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Portage Radiology, Sc | 8022911536 | 3 |
| Allina Health System | 4587573613 | 3584 |
| Mankato Clinic Ltd | 5597677955 | 221 |
| St Francis Regional Medical Center | 7214821909 | 96 |
| Consulting Radiologists Ltd | 7719899962 | 82 |
| Olmsted Medical Center | 8527970060 | 304 |
| Entity Name | Portage Radiology, Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104834811 PECOS PAC ID: 8022911536 Enrollment ID: O20040131000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert D Lefsrud, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 | Robert D Lefsrud, MD 1024 N Main St, Rice Lake, WI 54868-1236 Ph: (715) 234-8151 |
Thomas Michael Pelant, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Steven F Krah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Natasha Eshbaugh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
Richard W Swanson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-7950 | |
Gary A Johnson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1024 N Main St, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 | |
John A Terrell, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1024 North Main Street, Rice Lake, WI 54868 Phone: 715-234-8151 Fax: 715-234-9750 |