| Mr Richard Lee Fraser, NP | |
|
4190 Loberg Ave, Duluth, MN 55811-2652 | |
| (218) 249-5700 | |
| (218) 249-4666 |
| Full Name | Mr Richard Lee Fraser |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 33 Years |
| Location | 4190 Loberg Ave, Duluth, 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 |
|---|---|---|---|
| 1891748000 | NPI | - | NPPES |
| 43857200 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 851-033 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6433 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital | Duluth, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| St. Luke's Hospital Of Duluth | 7113834839 | 371 |
| Entity Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144991340 PECOS PAC ID: 9335059856 Enrollment ID: O20031126000706 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629017793 PECOS PAC ID: 7113834839 Enrollment ID: O20040323000234 |
| Entity Name | Memorial Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437179231 PECOS PAC ID: 8022000447 Enrollment ID: O20040402000938 |
| Entity Name | Howard Young Medical Center Inc Of Woodruff Wisconsin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184673352 PECOS PAC ID: 4183519606 Enrollment ID: O20040419000970 |
| Entity Name | Aspirus Eagle River Hospital & Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Richard Lee Fraser, NP 4190 Loberg Ave, Duluth, MN 55811-2652 Ph: (218) 249-5700 | Mr Richard Lee Fraser, NP 4190 Loberg Ave, Duluth, MN 55811-2652 Ph: (218) 249-5700 |
Molly B Dwyer, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Mrs. Kelsey Maria O'neil, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364 | |
Debbi L Peters, APRN, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4063 | |
Amy Jo Schwab, MSN, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 332 W Superior St Ste 300, Duluth, MN 55802 Phone: 218-722-4379 Fax: 218-722-4333 | |
Trace Mowers, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1102 E 4th St, Duluth, MN 55805 Phone: 218-310-8896 Fax: 218-310-8896 | |
Jessica Louise Zweifel, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Essentia Health Duluth Clinic, Duluth, MN 55805 Phone: 218-786-3443 | |
Sandra Rozier, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 920 E 1st St Ste 201, Duluth, MN 55805 Phone: 218-249-7949 |