Essentia Health Duluth Clinic - Medicare in Duluth, MN

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Essentia Health Duluth Clinic is a medicare enrolled "Clinic/center - Multi-specialty" provider in Duluth, Minnesota. Their current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 786-8364.

Essentia Health Duluth Clinic is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Essentia Health Duluth Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245278209.

Contact Information

Essentia Health Duluth Clinic
400 E 3rd St,
Duluth, MN 55805-1951
(218) 786-8364
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameEssentia Health Duluth Clinic
TypeFacility
SpecialityClinic/center - Multi-specialty
Location400 E 3rd St, Duluth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245278209
  • Provider Enumeration Date: 06/03/2006
  • Last Update Date: 02/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567374283
  • Enrollment ID: O20031103000120

Medical Identifiers

Medical identifiers for Essentia Health Duluth Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245278209NPI-NPPES
1245278209MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary
332B00000XDurable Medical Equipment & Medical Supplies (* (Not Available))Secondary
3336C0003XPharmacy - Community/retail Pharmacy 261245 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Essentia Health Duluth Clinic acts as a billing entity for following providers:
Provider NameDaniel Lee Mark
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1972539955
PECOS PAC ID: 7618878307
Enrollment ID: I20040115001038
Provider NameMichelle Marie Flanagan Haag
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1417996026
PECOS PAC ID: 8820990245
Enrollment ID: I20040124000322
Provider NameDaniel John Mullins
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255491445
PECOS PAC ID: 7012811565
Enrollment ID: I20040310000152
Provider NameWillett Wakin Pang
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1407813637
PECOS PAC ID: 9436145018
Enrollment ID: I20040421000064
Provider NameCraig Norman Peterson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1427116268
PECOS PAC ID: 9335138296
Enrollment ID: I20040507000242
Provider NameSara A Mccumber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619918406
PECOS PAC ID: 3375532468
Enrollment ID: I20040512000838
Provider NameBonita M Brost
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1558424119
PECOS PAC ID: 5991782245
Enrollment ID: I20040702001247
Provider NamePeter Karl Franklin
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1710919378
PECOS PAC ID: 5496722738
Enrollment ID: I20040915000566
Provider NameKathleen C Braddy
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356380992
PECOS PAC ID: 7911984307
Enrollment ID: I20041112000295
Provider NameKelly Marie Bolf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629004247
PECOS PAC ID: 8527010743
Enrollment ID: I20050216000511
Provider NameRichard L Catalan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1194771097
PECOS PAC ID: 8426047010
Enrollment ID: I20050524001258
Provider NameMaxine Lynn Paquet
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841223252
PECOS PAC ID: 1658315056
Enrollment ID: I20050616000494
Provider NameMichael E Mollerus
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1669402624
PECOS PAC ID: 3779528849
Enrollment ID: I20050813000134
Provider NamePaul K Kosmatka
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1619901287
PECOS PAC ID: 6800829938
Enrollment ID: I20050919000018
Provider NameJill Rene-pierce Holsinger
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1255431524
PECOS PAC ID: 0244219822
Enrollment ID: I20051005000436
Provider NamePaul R Anderson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1487717047
PECOS PAC ID: 6608859566
Enrollment ID: I20051005001124
Provider NameRichard Kanoff
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1407893753
PECOS PAC ID: 4981621638
Enrollment ID: I20051101000553
Provider NameAndrea Jill Wahman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1740214998
PECOS PAC ID: 4587687603
Enrollment ID: I20060104000441
Provider NameWilson Lim Ginete
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1922055607
PECOS PAC ID: 0244214112
Enrollment ID: I20060110000790
Provider NameBlanche Belle Ebert
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1821026410
PECOS PAC ID: 9830093467
Enrollment ID: I20060222000114
Provider NameJanus P Butcher
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1588610992
PECOS PAC ID: 3577571710
Enrollment ID: I20060329000380
Provider NameTimothy Alan Rubin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1801830856
PECOS PAC ID: 8224031729
Enrollment ID: I20060823000535
Provider NameOlga Mikhaylovna Ter-grigoryan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700896420
PECOS PAC ID: 2264436997
Enrollment ID: I20060911000485
Provider NameKirsten Ann Moore Kangas
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1699785956
PECOS PAC ID: 3971508334
Enrollment ID: I20061011000613
Provider NameThomas G Malloy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1285696161
PECOS PAC ID: 3375530413
Enrollment ID: I20061205000482
Provider NameElizabeth Rosemary Kohn
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518948165
PECOS PAC ID: 4688565963
Enrollment ID: I20070220000318
Provider NameStephen Joseph Smalley
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1992787717
PECOS PAC ID: 5496768806
Enrollment ID: I20070320000041
Provider NameEdward M Wineck
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1790711299
PECOS PAC ID: 1254436868
Enrollment ID: I20070410000282
Provider NameJames P Gregory
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1811999733
PECOS PAC ID: 3971406554
Enrollment ID: I20070917000158
Provider NameRachael Lynn Chambers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912976952
PECOS PAC ID: 2062445661
Enrollment ID: I20071228000117
Provider NameBrian M Byer
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1619030277
PECOS PAC ID: 7618993817
Enrollment ID: I20080226000245
Provider NameScott A Eskuri
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1831110915
PECOS PAC ID: 8628977097
Enrollment ID: I20080331000213
Provider NameMark L Grim
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1609843911
PECOS PAC ID: 8729065180
Enrollment ID: I20080430000570
Provider NameTimothy Paul Rich
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1578630174
PECOS PAC ID: 1355375007
Enrollment ID: I20080619000654
Provider NameLaura K Prouty
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1356521165
PECOS PAC ID: 2961583331
Enrollment ID: I20080805000881
Provider NameRussell Edward O'connell
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1831145846
PECOS PAC ID: 0345135562
Enrollment ID: I20080815000257
Provider NameChad A Mehling
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578762399
PECOS PAC ID: 4183710114
Enrollment ID: I20080919000322
Provider NameKevin C Bushey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1578519153
PECOS PAC ID: 3173683901
Enrollment ID: I20081124000140
Provider NameThomas Edward Russ
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1023046570
PECOS PAC ID: 5193637775
Enrollment ID: I20081208000523
Provider NameMark Douglas Burns
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912946542
PECOS PAC ID: 4082776372
Enrollment ID: I20081220000033
Provider NameChristopher T Bunch
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1790845774
PECOS PAC ID: 5597793794
Enrollment ID: I20090109000649
Provider NameTracy Gallagher Pagliuca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730270745
PECOS PAC ID: 8426122334
Enrollment ID: I20090302000517
Provider NamePericles Peter Regas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1649363284
PECOS PAC ID: 2264507797
Enrollment ID: I20090529000239
Provider NameKim Marie Ogle
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235324781
PECOS PAC ID: 4880731694
Enrollment ID: I20091028000138
Provider NameJon W Stephenson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437235074
PECOS PAC ID: 2365588001
Enrollment ID: I20091123000267
Provider NameAnna M Brabec
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1336473214
PECOS PAC ID: 2567503915
Enrollment ID: I20100106000853
Provider NameStephen M Bockhold
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174732952
PECOS PAC ID: 8628162963
Enrollment ID: I20100111000189
Provider NameSusan Kay Barningham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992033773
PECOS PAC ID: 9537201256
Enrollment ID: I20100119000450
Provider NameAnne Nicole Normand
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1164517785
PECOS PAC ID: 0749287449
Enrollment ID: I20100125000761
Provider NameBrian Stank
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982762118
PECOS PAC ID: 6305888595
Enrollment ID: I20100714000695
Provider NameTammy L Ward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275867384
PECOS PAC ID: 2466595418
Enrollment ID: I20100923000913
Provider NameJeffrey D Lewis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376531871
PECOS PAC ID: 3577755628
Enrollment ID: I20101007000292
Provider NameNicole Susanne Seacotte
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1548450018
PECOS PAC ID: 5991842775
Enrollment ID: I20101119000672
Provider NameLawrence Filmore
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1366501397
PECOS PAC ID: 2769474162
Enrollment ID: I20101124000303
Provider NameAna M Fernandezpokorny
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1316979933
PECOS PAC ID: 2062400997
Enrollment ID: I20101124000982
Provider NameBradley Lloyd-joseph Rauzi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1801901103
PECOS PAC ID: 7315043486
Enrollment ID: I20110112000022
Provider NameKelly U Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114157625
PECOS PAC ID: 3375681547
Enrollment ID: I20110328000660
Provider NameDavid Allen Burton
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114257532
PECOS PAC ID: 5890822217
Enrollment ID: I20110405000717
Provider NameBrian D Klocke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1912201153
PECOS PAC ID: 6002091394
Enrollment ID: I20110502000449
Provider NameMatthew Mark Brabec
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114219250
PECOS PAC ID: 2466639950
Enrollment ID: I20110609000629
Provider NameErik M Wendland
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1891962445
PECOS PAC ID: 0941479786
Enrollment ID: I20110811000409
Provider NameEmily Rose Opacich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902190382
PECOS PAC ID: 0941470298
Enrollment ID: I20110824000760
Provider NameBenjamin Forbes Turner
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1902073836
PECOS PAC ID: 2062558224
Enrollment ID: I20110829000186
Provider NameAnne Elizabeth Skwira Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447450309
PECOS PAC ID: 1355437229
Enrollment ID: I20110830000669
Provider NameHilary A Ross
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114224904
PECOS PAC ID: 5395916696
Enrollment ID: I20111117000622
Provider NameKelle Klocke
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982981072
PECOS PAC ID: 1658548482
Enrollment ID: I20120324000096
Provider NameGunnar M Christopher
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851678247
PECOS PAC ID: 6709052905
Enrollment ID: I20120416000027
Provider NameJeffrey Michael Rengel
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1700872629
PECOS PAC ID: 2365468238
Enrollment ID: I20120803000351
Provider NameKristina Louise Borman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548516966
PECOS PAC ID: 8921257973
Enrollment ID: I20121005000684
Provider NameKatherine Ann Beresford
Provider TypePractitioner - Sleep Medicine
Provider IdentifiersNPI Number: 1912151747
PECOS PAC ID: 7416105549
Enrollment ID: I20121126000294
Provider NameGerald M Kubik
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518994870
PECOS PAC ID: 8426201203
Enrollment ID: I20130102000411
Provider NameBradley Randall Kuzel
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1558554006
PECOS PAC ID: 1557518503
Enrollment ID: I20130521000553
Provider NameTimothy Paul Esser
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1962675348
PECOS PAC ID: 1052565793
Enrollment ID: I20130725000944
Provider NamePeter Kebbekus
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1245406750
PECOS PAC ID: 0446492573
Enrollment ID: I20140113000649
Provider NameBobbie Kristi Burdick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306131230
PECOS PAC ID: 8729259684
Enrollment ID: I20140307001470
Provider NameHannah Katherine Murphy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528406410
PECOS PAC ID: 3274776331
Enrollment ID: I20140507000730
Provider NameKathleen A Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851324727
PECOS PAC ID: 9739221227
Enrollment ID: I20140611000179
Provider NameMary Alice Rantala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720174881
PECOS PAC ID: 5799790077
Enrollment ID: I20140711001309
Provider NameKaren Wyse Niedermier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821058421
PECOS PAC ID: 7416113014
Enrollment ID: I20140924001371
Provider NameBeret A Casey
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1124289483
PECOS PAC ID: 1658512892
Enrollment ID: I20140925002443
Provider NameAnne Marie Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053712489
PECOS PAC ID: 2365661410
Enrollment ID: I20141106001603
Provider NameSreedhar Devathi
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1528208642
PECOS PAC ID: 5496948549
Enrollment ID: I20141216001498
Provider NameJustin David Hill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1306026778
PECOS PAC ID: 8022189299
Enrollment ID: I20150128000562
Provider NameMichael Edward Ryan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1215953997
PECOS PAC ID: 4082676846
Enrollment ID: I20150128001679
Provider NameNingmei Hu
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1902821416
PECOS PAC ID: 7719947373
Enrollment ID: I20150129001866
Provider NameMichael Patrick Caldwell
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1952444010
PECOS PAC ID: 1254415706
Enrollment ID: I20150129002160
Provider NameTammy Mcgrane Fox
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1730247552
PECOS PAC ID: 8022920297
Enrollment ID: I20150129002593
Provider NameBruce James Derauf
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1003847385
PECOS PAC ID: 9133181969
Enrollment ID: I20150203000515
Provider NameDaniel William Zelen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1336288448
PECOS PAC ID: 9830280536
Enrollment ID: I20150203000682
Provider NameGregory Legrande Horsley
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1245439744
PECOS PAC ID: 2264667542
Enrollment ID: I20150203002038
Provider NameDavid George Andrew Alexander
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932135936
PECOS PAC ID: 9436119799
Enrollment ID: I20150209001072
Provider NameRamin Artang
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376617282
PECOS PAC ID: 2668577073
Enrollment ID: I20150601002746
Provider NameNicholas James Milanovich
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1992931778
PECOS PAC ID: 0446562516
Enrollment ID: I20150701002030
Provider NameErin H Grund
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1306024567
PECOS PAC ID: 6608934369
Enrollment ID: I20150710002249
Provider NameJill Tracey Schenk
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770594475
PECOS PAC ID: 7113998352
Enrollment ID: I20150908002735
Provider NameJoseph William Stromsness
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013395748
PECOS PAC ID: 0446567846
Enrollment ID: I20150917001203
Provider NameJennifer N Malmberg
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1770940579
PECOS PAC ID: 3173827896
Enrollment ID: I20160208000174
Provider NameRandy Allan Braaten
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124083233
PECOS PAC ID: 0840337713
Enrollment ID: I20160223000439
Provider NameRichard Hoch Cochrane
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1285677393
PECOS PAC ID: 9335052810
Enrollment ID: I20160617000683
Provider NameEric Scott Sherck
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922082825
PECOS PAC ID: 3274826698
Enrollment ID: I20160722001371
Provider NameNicole M Nelson
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1346609229
PECOS PAC ID: 5890092274
Enrollment ID: I20160822002986
Provider NameCarrie Lynn Lott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598210239
PECOS PAC ID: 2365738200
Enrollment ID: I20161003001089
Provider NameKenneth James Farrell
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1477544005
PECOS PAC ID: 9234112194
Enrollment ID: I20161110001334
Provider NameHolly Lynn Gomez-levine
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881857167
PECOS PAC ID: 5890948368
Enrollment ID: I20170224002060
Provider NameMonica Blanche Mcdevitt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619326865
PECOS PAC ID: 9739473810
Enrollment ID: I20170621000594
Provider NameBret Mitchell Brady
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518186337
PECOS PAC ID: 7517064140
Enrollment ID: I20171005001717
Provider NameDenise Marie Lund
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922305655
PECOS PAC ID: 7315207990
Enrollment ID: I20180130000338
Provider NameMeghan Eileen Rochefort
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922517093
PECOS PAC ID: 3375800741
Enrollment ID: I20180219001890
Provider NameJoel David Kolmodin
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1295051407
PECOS PAC ID: 6406142751
Enrollment ID: I20180329001911
Provider NameEric James Zimmerman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1639315286
PECOS PAC ID: 9335365030
Enrollment ID: I20180606001504
Provider NameDaniel Moloney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1548231301
PECOS PAC ID: 0446505267
Enrollment ID: I20180620000432
Provider NameChad James St Germain
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1609037035
PECOS PAC ID: 7012159387
Enrollment ID: I20180621000387
Provider NameLee Dale Stokes
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1891107397
PECOS PAC ID: 6204053598
Enrollment ID: I20180710000268
Provider NameAmy Marie Westrick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275828469
PECOS PAC ID: 5193996577
Enrollment ID: I20180821004055
Provider NameAnna Gybina
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1477896009
PECOS PAC ID: 8426356064
Enrollment ID: I20180918002231
Provider NameErin Mccutchen Maddy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1114260296
PECOS PAC ID: 7315249018
Enrollment ID: I20181016002951
Provider NameDane Mcgee Ingebrigtson
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1104169390
PECOS PAC ID: 9830313923
Enrollment ID: I20181127001133
Provider NameLeo Bay
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659752285
PECOS PAC ID: 8325340789
Enrollment ID: I20181228001847
Provider NameThomas W Ballard
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1750360012
PECOS PAC ID: 0749310316
Enrollment ID: I20190213003238
Provider NameKristine G Matson
Provider TypePractitioner - Addiction Medicine
Provider IdentifiersNPI Number: 1417020793
PECOS PAC ID: 2062503485
Enrollment ID: I20190329000061
Provider NameJohn James Culliney
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1053416586
PECOS PAC ID: 5395702898
Enrollment ID: I20190529001880
Provider NameAyan A Rage
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1629201173
PECOS PAC ID: 7810203874
Enrollment ID: I20190610001222
Provider NameRachel Elizabeth Bebeau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992362941
PECOS PAC ID: 6103153861
Enrollment ID: I20190805000666
Provider NameJenna L Fox
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710366364
PECOS PAC ID: 7416262175
Enrollment ID: I20190912000670
Provider NameChristopher Stephen Childs
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1609220466
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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. Essentia Health Duluth Clinic 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
Essentia Health Duluth Clinic
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364		Essentia Health Duluth Clinic
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364

Reviews and Comments



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.