Dermatology Professionals, Pa - Medicare Primary Care in Baxter, MN

Dermatology Professionals, Pa is a medicare enrolled primary clinic (Clinic/center) in Baxter, Minnesota. The current practice location for Dermatology Professionals, Pa is 13359 Isle Dr, Ste 3, Baxter, Minnesota. For appointments, you can reach them via phone at (218) 454-7546. The mailing address for Dermatology Professionals, Pa is 13359 Isle Dr, Ste 3, Baxter, Minnesota and phone number is (218) 454-7546.

Dermatology Professionals, Pa is licensed to practice in Minnesota (license number 45453). The clinic also participates in the medicare program and its NPI number is 1720269426. 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) 454-7546.

Contact Information

Dermatology Professionals, Pa
13359 Isle Dr
Ste 3
Baxter
MN 56425
(218) 454-7546
Not Available

Primary Care Clinic Profile

Full NameDermatology Professionals, Pa
SpecialityClinic/Center
Location13359 Isle Dr, Baxter, Minnesota
Authorized Official Name and PositionPaul B Lundstrom (PRESIDENT)
Authorized Official Contact2184547546
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dermatology Professionals, Pa
13359 Isle Dr
Ste 3
Baxter
MN 56425

Ph: (218) 454-7546
Dermatology Professionals, Pa
13359 Isle Dr
Ste 3
Baxter
MN 56425

Ph: (218) 454-7546

NPI Details:

NPI Number1720269426
Provider Enumeration Date11/21/2007
Last Update Date08/28/2012

Medicare PECOS Information:

Medicare PECOS PAC ID4587753934
Medicare Enrollment IDO20071207000626

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Medical Identifiers

Medical identifiers for Dermatology Professionals, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720269426NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center 45453 (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. Dermatology Professionals, Pa acts as a billing entity for following providers:
Provider NameRebekah R White
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598744997
PECOS PAC ID: 5698799831
Enrollment ID: I20060116000086

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Provider NamePaul B Lundstrom
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1699759647
PECOS PAC ID: 1951369057
Enrollment ID: I20060202000216

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Provider NameWhitney D Tope
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1770506784
PECOS PAC ID: 3779586888
Enrollment ID: I20060810000227

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Provider NameKassandra J Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487916532
PECOS PAC ID: 1153571443
Enrollment ID: I20121023000130

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Provider NameKristina Marie Britton
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1982831889
PECOS PAC ID: 7214176015
Enrollment ID: I20130626000409

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Provider NameJennifer A Tinkler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982790242
PECOS PAC ID: 4183671779
Enrollment ID: I20140116001211

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Provider NameAngela E Aakhus
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1326330127
PECOS PAC ID: 8820394604
Enrollment ID: I20160919000652

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Provider NameKelley Layne Jensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477108033
PECOS PAC ID: 6204168370
Enrollment ID: I20191023002165

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Clinic/Center in Baxter, MN

Essentia Health-st Joseph's Baxter Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13060 Isle Drive, Baxter, MN 56425
Phone: 218-828-2880    
Dermatology Professionals Pa
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 15167 Edgewood Dr, Suite 200, Baxter, MN 56401
Phone: 218-454-7546    
True North Counseling And Consulting
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13432 Elmwood Dr Ste 209, Baxter, MN 56425
Phone: 218-839-9421    
Centracare - Baxter Specialty Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7418 Forthun Rd, Baxter, MN 56425
Phone: 320-251-2700    
Essentia Health - Baxter Specialty Clinic
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 13060 Isle Drive, Baxter, MN 56425
Phone: 218-828-2880    
Aim-axness Integrative Medicine, Pllc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 7350 Clearwater Rd, Baxter, MN 56425
Phone: 218-454-5050    

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