Bois Forte Reservation Tribal Government - Medicare Primary Care in Nett Lake, MN

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Bois Forte Reservation Tribal Government is a medicare enrolled primary clinic (Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy) in Nett Lake, Minnesota. The current practice location for Bois Forte Reservation Tribal Government is 5219 St. John Dr, Nett Lake, Minnesota. For appointments, you can reach them via phone at (218) 757-3650. The mailing address for Bois Forte Reservation Tribal Government is 5219 Saint John Dr, Orr, Minnesota and phone number is (218) 757-3650.

Bois Forte Reservation Tribal Government is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1073530150. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (218) 757-3650.

Contact Information

Bois Forte Reservation Tribal Government
5219 St. John Dr
Nett Lake
MN 55772
(218) 757-3650
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameBois Forte Reservation Tribal Government
SpecialityIndian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Location5219 St. John Dr, Nett Lake, Minnesota
Authorized Official Name and PositionCatherine Chavers (TRIBAL CHAIRMAN)
Authorized Official Contact2187573361
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bois Forte Reservation Tribal Government
5219 Saint John Dr
Orr
MN 55771-8232

Ph: (218) 757-3650		Bois Forte Reservation Tribal Government
5219 St. John Dr
Nett Lake
MN 55772

Ph: (218) 757-3650

NPI Details:

NPI Number1073530150
Provider Enumeration Date07/16/2006
Last Update Date05/19/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7517879778
Medicare Enrollment IDO20031105000284

Medical Identifiers

Medical identifiers for Bois Forte Reservation Tribal Government such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073530150NPI-NPPES
177515400MedicaidMN
63G35BOOtherMNBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
251B00000XCase Management (* (Not Available))Secondary
332U00000XHome Delivered Meals (* (Not Available))Secondary
385H00000XRespite Care (* (Not Available))Secondary
332800000XIndian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bois Forte Reservation Tribal Government acts as a billing entity for following providers:
Provider NameWendy S Long
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689873598
PECOS PAC ID: 4385731538
Enrollment ID: I20071105000099
Provider NameWilliam J Durie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528096195
PECOS PAC ID: 6406982008
Enrollment ID: I20100408000210
Provider NameCrystal L Lobe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174834709
PECOS PAC ID: 0941494066
Enrollment ID: I20101103000320
Provider NameKevin J Schulte
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194816967
PECOS PAC ID: 1355536780
Enrollment ID: I20101111000666
Provider NameAndrea Nichole Simek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316252810
PECOS PAC ID: 0749479293
Enrollment ID: I20110113000982
Provider NameShanna Rachelle Vidor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215229729
PECOS PAC ID: 9830349380
Enrollment ID: I20121018000799
Provider NamePaul Steven Rasmussen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285153007
PECOS PAC ID: 9032485131
Enrollment ID: I20171017002710
Provider NameBrandon Mark Anderson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225536592
PECOS PAC ID: 2466870639
Enrollment ID: I20200921001386

Reviews and Comments


Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Nett Lake, MN

Bois Forte Reservation Tribal Council
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772
Phone: 218-757-3295    Fax: 218-757-0234

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.