Medallus & Vacharothone Ltd - Medicare Primary Care in Jamestown, ND

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Medallus & Vacharothone Ltd is a medicare enrolled primary clinic (Family Medicine) in Jamestown, North Dakota. The current practice location for Medallus & Vacharothone Ltd is 721 1st Ave S Unit A, Jamestown, North Dakota. For appointments, you can reach them via phone at (877) 633-9110. The mailing address for Medallus & Vacharothone Ltd is 721 A 1st Ave South, Jamestown, North Dakota and phone number is (701) 368-4380.

Medallus & Vacharothone Ltd is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1710496310. 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 (877) 633-9110.

Contact Information

Medallus & Vacharothone Ltd
721 1st Ave S Unit A
Jamestown
ND 58401
(877) 633-9110
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMedallus & Vacharothone Ltd
SpecialityFamily Medicine
Location721 1st Ave S Unit A, Jamestown, North Dakota
Authorized Official Name and PositionRachot Vacharothone (CEO)
Authorized Official Contact8012601919
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Medallus & Vacharothone Ltd
721 A 1st Ave South
Jamestown
ND 58401

Ph: (701) 368-4380		Medallus & Vacharothone Ltd
721 1st Ave S Unit A
Jamestown
ND 58401

Ph: (877) 633-9110

NPI Details:

NPI Number1710496310
Provider Enumeration Date09/26/2017
Last Update Date06/16/2026
Certification Date06/16/2026

Medicare PECOS Information:

Medicare PECOS PAC ID3072871276
Medicare Enrollment IDO20180213000429

Medical Identifiers

Medical identifiers for Medallus & Vacharothone Ltd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710496310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ()Primary
261QU0200XClinic/center - Urgent Care ()Secondary
363A00000XPhysician Assistant ()Secondary
363L00000XNurse Practitioner ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medallus & Vacharothone Ltd acts as a billing entity for following providers:
Provider NameMarilyn Ek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487745493
PECOS PAC ID: 8022907906
Enrollment ID: I20041216000865
Provider NameKara a Falk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548362502
PECOS PAC ID: 7113923012
Enrollment ID: I20061017000467
Provider NameJacqueline D Nelson
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1750586772
PECOS PAC ID: 2567568009
Enrollment ID: I20070731000372
Provider NameBeverly a Gibson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801024294
PECOS PAC ID: 1052451366
Enrollment ID: I20091217000502
Provider NameBurton J Mollman
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1003038811
PECOS PAC ID: 2961597059
Enrollment ID: I20100301000211
Provider NameMary L Hoff
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1700863362
PECOS PAC ID: 3678601200
Enrollment ID: I20100503000285
Provider NameMark W Klabo
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1275793978
PECOS PAC ID: 1759419211
Enrollment ID: I20100505000095
Provider NamePamela J Montplaisir
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437470200
PECOS PAC ID: 2567587199
Enrollment ID: I20100920000243
Provider NameRoxanne M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609912450
PECOS PAC ID: 2668653387
Enrollment ID: I20110228000811
Provider NameChristina a Dahl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437565330
PECOS PAC ID: 7911128780
Enrollment ID: I20141020001486
Provider NameAmanda M Mastel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679933345
PECOS PAC ID: 8224334354
Enrollment ID: I20160315002414
Provider NameNoelle K Riehl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346600251
PECOS PAC ID: 5092012021
Enrollment ID: I20160318000611
Provider NameJody Tanner
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1215942057
PECOS PAC ID: 8022392224
Enrollment ID: I20170308000453
Provider NameJodell J Schmidt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619482080
PECOS PAC ID: 9830450030
Enrollment ID: I20180305001106
Provider NameRachot K Vacharothone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548228497
PECOS PAC ID: 9931013745
Enrollment ID: I20180329000751
Provider NameCynthia L Wald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912498593
PECOS PAC ID: 7719237932
Enrollment ID: I20180910003123
Provider NameStella Chisomaga Onyeakazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053825224
PECOS PAC ID: 9830420215
Enrollment ID: I20191016001829
Provider NameRebecca Sue Stutz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1780837641
PECOS PAC ID: 7416225313
Enrollment ID: I20200303001702
Provider NameDan Lee Beach
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811500226
PECOS PAC ID: 7810317781
Enrollment ID: I20201014001308
Provider NameLynette Guss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639247323
PECOS PAC ID: 3577564483
Enrollment ID: I20211105000648
Provider NameRebecca L Lafavor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114695541
PECOS PAC ID: 5496145989
Enrollment ID: I20211123002197
Provider NameAbby Wald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184355000
PECOS PAC ID: 5597148916
Enrollment ID: I20220818000378
Provider NameJanelle Kertzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821825191
PECOS PAC ID: 0042746877
Enrollment ID: I20241204000637
Provider NameShaena Kuch
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609605435
PECOS PAC ID: 6305370784
Enrollment ID: I20250411002419
Provider NameJasmine N Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851142269
PECOS PAC ID: 9931638582
Enrollment ID: I20250708000865
Provider NameKelly Mcgrady
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760349393
PECOS PAC ID: 0446731202
Enrollment ID: I20260220000433
Provider NameCoryn Anne Flemmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558104281
PECOS PAC ID: 4981186905
Enrollment ID: I20260306003614

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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.