Charity Reynolds (NPI# 1912344722, PAC ID# 0042593006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1912344722 |
| PAC ID by PECOS | 0042593006 |
| Professional Enrollment ID | I20181030002619 |
| Full Name | Charity Reynolds |
| Organization Legal Name | FOND DU LAC RESERVATION BUSINESS COMMITTEE |
| Address |
927 Trettel Ln Cloquet MN 55720-1345 |
| Phone Number | 2188791227 |
| Gender | F |
| Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6608775879 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240047 | ST LUKES HOSPITAL |
| 241364 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 927 Trettel Ln, Cloquet, MN 55720-1345 | 2188791227 | FOND DU LAC RESERVATION BUSINESS COMMITTEE |
| 211 W 4th St, Duluth, MN 55806-2719 | 2188791227 | FOND DU LAC RESERVATION BUSINESS COMMITTEE |
| Organization Legal Name | FOND DU LAC RESERVATION BUSINESS COMMITTEE |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arne Vainio | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Kirsten M Kortesma | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jennifer R Boyle | Obstetrics/gynecology | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Leeanna L Stock | Registered Dietitian Or Nutrition Professional | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jessica Tia Kamunen | Physician Assistant | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Magdalena Cecilia Reynolds-allen | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jeanne A Rice | Optometry | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Kiara Margaret Krugler Levar | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Amanda M Murray | Certified Nurse Midwife (cnm) | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jonathan P Gervais | Qualified Audiologist | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Street Address |
927 TRETTEL LN |
| City | CLOQUET |
| State | MN |
| Zip | 55720-1345 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arne Vainio | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Kirsten M Kortesma | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jennifer R Boyle | Obstetrics/gynecology | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Leeanna L Stock | Registered Dietitian Or Nutrition Professional | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jessica Tia Kamunen | Physician Assistant | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Magdalena Cecilia Reynolds-allen | Nurse Practitioner | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jeanne A Rice | Optometry | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Kiara Margaret Krugler Levar | Family Medicine | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Amanda M Murray | Certified Nurse Midwife (cnm) | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Jonathan P Gervais | Qualified Audiologist | Fond Du Lac Reservation Business Committee | 927 Trettel Ln, Cloquet, MN 55720-1345 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelley A Breyen | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Maureen L Randall | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Erin N Louks Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| James A Rogers | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Gregory T White | Nurse Practitioner | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Ariane Marene Norrgard | Clinical Social Worker | Insight Counseling Duluth LLC | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Joanne C Smith | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Jessica K Woodward Lavan | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Andrew C Chiu | Cardiovascular Disease (cardiology) | The Duluth Clinic Ltd | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Daniel M Palmquist | Family Medicine | Raiter Clinic, Ltd. | 417 Skyline Blvd, Cloquet, MN 55720-1164 |
| Find all physicians in zip 55720 | |||
| City | CLOQUET |
| Zip Code | 55720 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLOQUET + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charity Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.