Great River Eye Clinic - Medicare in Crosby, MN

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Great River Eye Clinic is a medicare enrolled "Clinic/center - Health Service" provider in Crosby, Minnesota. Their current practice location is 1 3rd Ave Ne, Crosby, Minnesota. You can reach out to their office (for appointments etc.) via phone at (218) 546-5108.

Great River Eye Clinic is licensed to practice in Minnesota (license number ) and it also participates in the medicare program. Great River Eye 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 1023424926.

Contact Information

Great River Eye Clinic
1 3rd Ave Ne,
Crosby, MN 56441-1665
(218) 546-5108
(218) 546-5736

Map and Direction




Healthcare Provider's Profile

Full NameGreat River Eye Clinic
TypeFacility
SpecialityClinic/center - Health Service
Location1 3rd Ave Ne, Crosby, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023424926
  • Provider Enumeration Date: 07/11/2014
  • Last Update Date: 08/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0244459824
  • Enrollment ID: O20140912001243

Medical Identifiers

Medical identifiers for Great River Eye Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023424926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WL0500XOptometrist - Low Vision Rehabilitation (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary
152WS0006XOptometrist - Sports Vision (* (Not Available))Secondary
152WV0400XOptometrist - Vision Therapy (* (Not Available))Secondary
152WX0102XOptometrist - Occupational Vision (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Great River Eye Clinic acts as a billing entity for following providers:
Provider NameMary M Zeise
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1821044041
PECOS PAC ID: 5092774018
Enrollment ID: I20041006000405
Provider NameStacy A Sjoberg
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275584815
PECOS PAC ID: 4082690599
Enrollment ID: I20050602000517
Provider NameCassie S Mairs Knipple
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1710214432
PECOS PAC ID: 3870627813
Enrollment ID: I20100812001029
Provider NameMichelle K Malchow
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023343100
PECOS PAC ID: 7012185887
Enrollment ID: I20150728003064
Provider NameTaylor J Swanson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881058196
PECOS PAC ID: 5294003489
Enrollment ID: I20170612001838
Provider NameAdam D Ahlquist
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1215221189
PECOS PAC ID: 3274803101
Enrollment ID: I20170725002631
Provider NameJoseph P Merck
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1558742783
PECOS PAC ID: 2365722584
Enrollment ID: I20190610002823
Provider NameNerissa A Klingelhofer
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255884151
PECOS PAC ID: 9032487996
Enrollment ID: I20190805000001
Provider NameTorvin B Rajala
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1801593447
PECOS PAC ID: 3870968282
Enrollment ID: I20230417000418

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. Great River Eye 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
Great River Eye Clinic
1 3rd Ave Ne,
Crosby, MN 56441-1665

Ph: (218) 546-5108		Great River Eye Clinic
1 3rd Ave Ne,
Crosby, MN 56441-1665

Ph: (218) 546-5108

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.