Trevor John Diercks, DO in Two Harbors, MN

Trevor John Diercks, DO is a medicare enrolled "Family Medicine" physician in Two Harbors, Minnesota. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2019 and has 5 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Lake View Memorial Hospital, Incorporated and his current practice location is 325 11th Ave, Two Harbors, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-5555.

Trevor John Diercks is licensed to practice in Minnesota (license number 72290) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952864076.

Contact Information

	Trevor John Diercks, DO
	325 11th Ave, Two Harbors, MN 55616-1300
	(218) 249-5555
	Not Available

Map and Direction

Physician's Profile

Full Name	Trevor John Diercks
Gender	Male
Speciality	Family Practice
Experience	5 Years
Location	325 11th Ave, Two Harbors, 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.

Medical Education and Training:

Trevor John Diercks attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2019

NPI Data:

NPI Number: 1952864076
Provider Enumeration Date: 04/08/2019
Last Update Date: 08/08/2022

Medicare PECOS Information:

PECOS PAC ID: 7012241797
Enrollment ID: I20220906001556

Medical Identifiers

Medical identifiers for Trevor John Diercks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952864076	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	74574 (Wisconsin)	Secondary
207Q00000X	Family Medicine	7908 (Wisconsin)	Secondary
207Q00000X	Family Medicine	72290 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Lukes Hospice Duluth	Duluth, MN	Hospice
Lake View Memorial Hospital	Two harbors, MN	Hospital
St Lukes Hospital	Duluth, MN	Hospital
The Waterview Shores Llc	Two harbors, MN	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake View Memorial Hospital, Incorporated	9032002688	10

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. Trevor John Diercks allows following entities to bill medicare on his behalf.

Entity Name	Lake View Memorial Hospital, Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20040206000105

Entity Name	Lake View Memorial Hospital, Incorporated
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1023067642 PECOS PAC ID: 9032002688 Enrollment ID: O20061104000685

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. Trevor John Diercks 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
Trevor John Diercks, DO 325 11th Ave, Two Harbors, MN 55616-1300 Ph: (218) 249-5555	Trevor John Diercks, DO 325 11th Ave, Two Harbors, MN 55616-1300 Ph: (218) 249-5555

Reviews and Comments

Family Medicine Doctors in Two Harbors, MN

Dr. Howard Y Josephs, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1010 4th St, Two Harbors, MN 55616 Phone: 218-834-7700 Fax: 218-834-7727
Dr. Thomas Andrew Peterson, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-7727 Fax: 218-834-7727
Dr. Debbie Anne Allert, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1010 4th St, Two Harbors, MN 55616 Phone: 218-834-7200 Fax: 218-834-7220
Eric Tolga Hanhan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-7727 Fax: 218-834-7727
Lee Jeffrey Cohen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-5427
Kelsey May Schultz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-7727 Fax: 218-834-7727
Elizabeth Feist, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 325 11th Ave, Two Harbors, MN 55616 Phone: 218-834-7727 Fax: 218-529-9120

Trevor John Diercks, DO - Medicare Family Practice in Two Harbors, MN