Shanna Rachelle Vidor, MD - Medicare Family Practice in Nett Lake, MN

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Shanna Rachelle Vidor, MD is a medicare enrolled "Family Medicine" physician in Nett Lake, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Bois Forte Reservation Tribal Council and her current practice location is 5219 St John Drive, Nett Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 757-3295.

Shanna Rachelle Vidor is licensed to practice in Minnesota (license number 55689) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215229729.

Contact Information

Shanna Rachelle Vidor, MD
5219 St John Drive,
Nett Lake, MN 55772-8232
(218) 757-3295
Not Available

Map and Direction




Physician's Profile

Full NameShanna Rachelle Vidor
GenderFemale
SpecialityFamily Practice
Experience13 Years
Location5219 St John Drive, Nett Lake, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shanna Rachelle Vidor attended and graduated from University Of North Dakota School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1215229729
  • Provider Enumeration Date: 05/03/2011
  • Last Update Date: 06/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830349380
  • Enrollment ID: I20121018000799

Medical Identifiers

Medical identifiers for Shanna Rachelle Vidor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215229729NPI-NPPES
1215229729MedicaidMN
P01105126OtherMNRAILROAD MEDICARE
1215229729OtherMEDICA
1215229729OtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 55689 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia Health VirginiaVirginia, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bois Forte Reservation Tribal Council75178797786

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. Shanna Rachelle Vidor allows following entities to bill medicare on her behalf.
Entity NameBois Forte Reservation Tribal Council
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073530150
PECOS PAC ID: 7517879778
Enrollment ID: O20031105000284
Entity NameDuluth Graduate Medical Education Council Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972585867
PECOS PAC ID: 4385545953
Enrollment ID: O20040116000311
Entity NameCook Area Health Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174596027
PECOS PAC ID: 4880681303
Enrollment ID: O20040427001470

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. Shanna Rachelle Vidor 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 AddressPractice Location Address
Shanna Rachelle Vidor, MD
5219 St John Drive,
Nett Lake, MN 55772-8232

Ph: (218) 757-3295		Shanna Rachelle Vidor, MD
5219 St John Drive,
Nett Lake, MN 55772-8232

Ph: (218) 757-3295

Reviews and Comments


Family Medicine Doctors in Nett Lake, MN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.