Jared Evan Lund, M.D.
Individual provider Active NPI Family Medicine Physician · Deer River, MN
NPI 1922233261 · NPPES record last updated Nov 1, 2012
Key facts
- NPI
- 1922233261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 53082 (MN)
- Practice address
- 115 10TH Ave NE Ste a
Eh Deer River Clinic
Deer River, MN 56636-8795 - Phone
- (218) 246-8275
- NPI assigned
- May 15, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 31
Hospital & facility affiliations 13
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Deer River Healthcare Center Inc
The Duluth Clinic LTD
Practice addresses (Care Compare)
115 10TH Ave NE
Deer River, MN 56636-8795
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
- Aveanna Home Health
- St Croix Hospice
- Essentia Health Deer River
- Range Regional Health Services
- Grand Itasca Clinic and Hospital
- Essentia Health St Mary'S Medical Center
- Essentia Health Virginia
- Grand Village
- Essentia Health Deer River
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 14 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Essentia Health Homestead |
Skilled nursing facility | Corporate Director Adp of the SNF |
Jan 1, 2024 Jan 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000065 | MN | Practitioner - Family Practice | 1557486677 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| Deer River Healthcare Center, Inc. | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients | |
| Deer River Healthcare Center Inc | Past | Accepting new patients | |
| Deer River Healthcare Center, Inc | Past | Accepting new patients |
Locations
115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900
115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275
330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
1542 Golf Course Rd
Ste 203
Grand Rapids, MN 55744
Phone (218) 999-7000
1542 Golf Course Rd
Ste 204
Grand Rapids, MN 55744
Phone (218) 322-4900
1232 Birch St N
Tower, MN 55790
Phone (218) 753-7788
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 53082 | MN | Yes |
Addresses
Primary practice location
115 10TH Ave NE Ste a
Eh Deer River Clinic
Deer River, MN 56636-8795
Mailing address
115 10TH Ave NE Ste a
Eh Deer River Clinic
Deer River, MN 56636-8795
Phone (218) 246-8275
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922233261 | Other | MN | BCBS |
| 01-42320 | Other | MEDICA | |
| P00860768 | Other | RAILROAD MEDICARE | |
| 1922233261 | Medicaid | MN |
Other providers in Deer River, MN
- Dianna Mae Kachinske
- Shana Kathlyn Kongsjord
- Jena J Laakso
- Lindsay M Leemann
- Judy Louise Lemieux
- Jan M Monley
- Casey Morris
- Sadie Lynn Norstrem
- Thomas E Osborne
- Robert Ott
All providers in Deer River, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.