Ms Lisa Leedham, PA-C - Medicare Physician Assistant in Cloquet, MN

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Ms Lisa Leedham, PA-C is a medicare enrolled "Physician Assistant" in Cloquet, Minnesota. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Polinsky Medical Rehabilitation Center, Community Memorial Hospital Association and her current practice location is 512 Skyline Blvd, Cloquet, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 879-4641.

Ms Lisa Leedham is licensed to practice in Minnesota (license number 12573) 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 1881143022.

Contact Information

Ms Lisa Leedham, PA-C
512 Skyline Blvd,
Cloquet, MN 55720-3787
(218) 879-4641
(218) 879-9167

Map and Direction




Provider's Profile

Full NameMs Lisa Leedham
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location512 Skyline Blvd, Cloquet, 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:
  • Ms Lisa Leedham graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1881143022
  • Provider Enumeration Date: 09/29/2016
  • Last Update Date: 06/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9335437888
  • Enrollment ID: I20171031001225

Medical Identifiers

Medical identifiers for Ms Lisa Leedham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881143022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 12573 (Minnesota)Primary
363AM0700XPhysician Assistant - Medical 5601007983 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Memorial HospitalCloquet, MNHospital
Cook Community HospitalCook, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Polinsky Medical Rehabilitation Center0941377360369
Community Memorial Hospital Association004212999147

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. Ms Lisa Leedham allows following entities to bill medicare on her behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NameCommunity Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003869082
PECOS PAC ID: 0042129991
Enrollment ID: O20040202001203
Entity NameCommunity Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1003869082
PECOS PAC ID: 0042129991
Enrollment ID: O20120706000189

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. Ms Lisa Leedham 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
Ms Lisa Leedham, PA-C
512 Skyline Blvd,
Cloquet, MN 55720-1199

Ph: (218) 879-4641		Ms Lisa Leedham, PA-C
512 Skyline Blvd,
Cloquet, MN 55720-3787

Ph: (218) 879-4641

Reviews and Comments


Physician Assistant Nurses in Cloquet, MN

Jessica Powers, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 927 Trettel Ln, Cloquet, MN 55720
Phone: 218-879-1227    
Ms. Kate Ellen Campion Pederson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1413 Highway 33 S, Cloquet, MN 55720
Phone: 218-337-4000    
Ava May Gonsorowski, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720
Phone: 218-879-4641    Fax: 218-878-7081
Austin M Fournier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 512 Skyline Blvd, Cloquet, MN 55720
Phone: 218-878-7626    Fax: 218-878-7081
Kathryn Rose Kensrud, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 417 Skyline Blvd, Cloquet, MN 55720
Phone: 218-879-1271    Fax: 218-879-8904
Karin K Parsons, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 512 Skyline Blvd Ste 1, Cloquet, MN 55720
Phone: 218-879-4641    Fax: 218-878-7083
David Michael Labore, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 512 Skyline Blvd, Cloquet, MN 55720
Phone: 218-879-4641    Fax: 218-249-5613

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.