MASTER SERVICE LIST FOR INTERVENORS

 

 

Use of this list:  The entities on this list have provided the following information to allow parties in workers’ compensation cases to easily contact the company and its representatives regarding an intervention interest under Minn. Stat. § 176.361 in a workers’ compensation case.  The left column “intervenor” lists the address to use to serve a Notice of Right to Intervene in a workers’ compensation proceeding along with the date the information was updated.  The middle column lists contact information for settlement or case resolution purposes.  The right column provides, where available, an alternate contact person if the primary contact person is unavailable.  If a Motion to Intervene in an individual case lists a different contact person or persons, please contact the persons listed in the motion.  This list is updated per the request of the entities on this list.  We cannot guarantee that the information remains accurate. 

 

Potential Intervenors:  To update this list, please complete and follow the instructions on the Workers’ Compensation Intervenor Contact Information form.

 

To find additional contact information for health care providers, try these links:

 

Hospitals:        www.theagapecenter.com/Hospitals/Minnesota.htm

 

INTERVENOR

CONTACT PERSON

ALTERNATE CONTACT PERSON

ANW-St. Cloud Area Surgery Center

(8/07)

See Center for Outpatient Surgery

 

Albert Lea Medical Center/Naeve Hospital/HealthReach

Mayo Health System

Attn:  Business Office

404 Fountain St.

Albert Lea, MN  56007

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu

 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Alexandria Orthopaedic Associates

k/n/a Heartland Orthopedic Specialists

(5/09)

See:  Heartland Orthopedic Specialists

 

Allied Craftworkers Fringe Benefit Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

Allina Hospitals

Internal Zip 10019

P.O. Box 43

Minneapolis, MN  55440-0043

(12/09) 

 

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

Use this information for Abbott Northwestern, Cambridge, Buffalo, Owatonna, Mercy, New Ulm Medical Center, River Falls Area, United, Unity, and St. Francis Hospitals.

Allina Medical Clinics

Consolidated Business Office  

Attn:  Workers’ Comp Intervention

Internal Zip 10017

P.O. Box 43

Minneapolis, MN  55440-0043

(12/09) 

 

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

Use this information for all Allina medical clinics.

Altru Health System

2401 Demers Ave.

Grand Forks, ND 58201

(12/07)

Jill Cormier

(701) 780-5828

Fax (701)780-1046

jcormier@altru.org

Bonita Kuntz

(701) 780-1515

Fax (701)780-1046

bkuntz@altru.org

Asbestos Workers Local 34 Health & Welfare Plan

P.O. Box 220

Minneapolis, MN  55440-0220

(952) 544-8332  (3/06)

Gary Boline

(952) 541-6335

Fax (952) 544-8287

gabohline@flexcompensation.com

 

 

Aspen Medical Group

1021 Bandana Blvd. East

St. Paul, MN  55108

(8/07)

Pat Van Ert

(651) 642-2726

Fax (651) 642-9441

pvanert@aspenmed.org

Beth Bolton

(651) 642-2768

Fax (651) 642-9441

bbolton@aspenmed.org

Austin Medical Center/St. Olaf Hospital-Mayo Health System

Attn:  Business Office  

1000 First Drive NW

Austin, MN  55912

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Benedictine Health System

503 E. Third St.  Suite 400

Duluth, MN  55805

(3/06)

Thomas R. Crook

(218) 786-2370

Fax (218) 786-7271

tom.crook@bhshealth.org

 

Kristina Hamann

(612) 845-6375

 

kris.hamann@bhshealth.org

Blue Cross Blue Shield of IL

2329 South MacArthur Blvd.

Springfield, IL 62704

07/08

Jennifer Klitzsch

(800) 582-6418  Ext. 2130

Fax (217) 698-0154

       (217) 698-0146

 

Blue Cross Blue Shield of MN

P.O. Box 64560

St. Paul,  MN  55164

(4/06)

Greg Walsh

(651) 662-6278

Fax (651) 662-1099

greg_walsh@bluecrossmn.com

 

Thomas F. Gilde (atty)  (651) 662-2257

Fax (651) 662-1099

Blue Cross Blue Shield of ND

4510 13th Avenue South

Fargo, ND 58121

(4/11)

Jerry Schimmelpfennig

(701) 277-2539

Fax (701) 282-1554

jerry.schimmelpfennig.bcbsnd.com

 

Britton Center

590 Park Street, Suite 7

St. Paul, MN 55103

(7/10)

www.brittoncenter.com

Abigail M. Thomas

(651) 259-1323

Fax (651-259-1355

Athomas@brittoncenter.com

 

Cannon Valley Clinic

Mayo Health System

Attn:  Business Office  

924 First St. NE

Faribault, MN  55021

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Carpenters & Joiners Health & Welfare Fund

3001 Metro Drive, Suite 500

Bloomington, MN  55425

(3/06)

McGrann Shea Law Firm

2600 US Bancorp

800 Nicollet Ave.

Minneapolis, MN  55404

(612) 338-2525

Fax (612) 339-2386

Rick Lemke

(952) 854-0795

Fax (952) 854-1632

Cass Lake Indian Hospital

(4/07)

See U.S. Department of Health and Human Services

 

Center for Diagnostic Imaging (CDI)

5775 Wayzata Blvd.  Suite 450

St. Louis Park, MN  55416

 (11/08)

Marea Anderson

(952) 543-6551

Fax (651) 998-0667

marea.anderson@cdirad.com

Brenda Schaffer

(952) 525-6330

Fax (952) 513-6880

bschaffer@chirad.com

Center for Outpatient Surgery

2000 Abbott N.W. Court, Suite 305

Sartell, MN 56377

(8/07)

Paula Monahan

(320) 534-2202

Fax (320) 534-2204

paula.monahan@allina.com

Anne Thompson

(320) 534-2203

Fax (320) 534-2204

anne.thompson@allina.com

Comprehensive Care Services

P.O. Box 64560

St. Paul, MN  55164

(4/06)

Greg Walsh

(651) 662-6278

Fax (651) 662-1099

greg_walsh@bluecrossmn.com

Thomas F. Gilde (atty)

(651) 662-2257

Fax (651) 662-1099

Construction Suppliers Health and Welfare Trust Fund A

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

Consulting Radiologists. Ltd.

1221 Nicollet Mall  Suite 600

Minneapolis, MN  55403

(612) 573-2244

(3/08)

Susan Totall

(612) 573-2200 Ext. 2225

Fax (612) 573-2273

susan.totall@crlmed.com

 

 

Department of Employment and Economic Development

See MN Department of Employment and Economic Development

 

 

Department of Human Services

 

See MN Department of Human Services

 

Department of Labor and Industry

Vocational Rehabilitation Unit

See MN Department of Labor and Industry

 

 

Douglas County Hospital

111 17th Avenue East

Alexandria, MN 56308

(11/09)

Nancy Jennissen

(320) 762-6054

Fax (320) 762-6454

njennissen@dchospital.com

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

Duluth Clinic

See St. Mary’s Duluth Clinic Health System

 

East Metro Imaging

11/10

See St. Paul Radiology

 

Emergency Physicians, P.A.

7301 Olms Lane, Suite 605

Edina, MN 55439

(4/09)

Angelic Farnstrom

(952) 835-4403

Fax (952) 835-4403

afarnstrom@emer-phys.com

 

Fairmont Medical Center (Clinic and Hospital)

Mayo Health System

Attn:  Business Office  

800 Medical Center Drive

Fairmont, MN  56031

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Fairview Health Services

400 Stinson Boulevard

Minneapolis, MN  55413

(7/10)

(Includes Fairview hospitals and clinics)

Diane Hanson

(612) 672-6743

Fax (612) 672-2802

(Attn:  Interventions)

dhanson5@fairview.org

 

Melissa Dietrich

(612) 672-7679

Fax (612) 672-2802

(Attn:  Interventions)

mdietri1@fairview.org

 

Fairview Red Wing Health Services – Clinic

1407 W. 4th Street

P.O. Box 54

Red Wing, MN 55066-0054

(10/06)

Marsha Cooper

Clinic Patient Financial Services

(651) 385-3272

Fax (651) 385-3312

mcooper2@redwing.fairview.org

Abbigail W. Olson

Clinic Work Comp Clerk

(651) 267-3557

Fax (651) 385-3312

mcooper2@redwing.fairview.org

Family Practice Medical Center

502 Second Street S.W.

P.O. Box 957

Willmar, MN 56201

Anne Moudry

(320) 231-8627

Fax (320) 231-8609

amoudry@fpmc-willmar.com

Gary McDowell

(320) 231-8642

gmcdowell@fpmc-willmar.com

First Class Recoveries, Inc. (for Preferred One Administrative Services

7900 International Drive, Suite 200

Bloomington, MN 55425

(3/09)

Bill Brady

(952) 883-3250

bill.brady@FirstClassRecoveries.com

 

First Plan of MN

525 S. Lake Ave. Suite 222

Duluth, MN  55802

(4/06)

Greg Walsh

P. O. Box 64560

St. Paul, MN  55164

(651) 662-6278

Fax (651) 662-1099

greg_walsh@bluecrossmn.com

Thomas F. Gilde (atty)  (651) 662-2257

Fax (651) 662-1099

 

Fortis Benefits Insurance Company (see Union Security Insurance Company)  (3/06)

 

 

Franciscan Skemp Healthcare (Clinic and Hospital)

Mayo Health System

Attn:  Business Office  

700 West Ave. South

La Crosse, WI  54601

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu

 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

 

Gallery Imaging

(11/10)

See St. Paul Radiology

 

Galvin Rehabilitation Services

P.O. Box 66

New Ulm, MN  56073

(3/06)

Craig Galvin

(507) 233-7733

Fax (507) 354-7287

galvin@newulmtel.net 

 

Gold Cross Ambulance and Mayo Medical Transport

Attn:  Business Office  

501 Sixth Ave. NW

Rochester, MN  55901

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Greater Metropolitan Hotel-Employers-Employees Health and Welfare Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

Health Partners

P.O. Box 1309

Mail Stop 21114A

Bloomington, MN  55440

(952) 883-5776

(5/10)

Christopher Seipel

(952) 883-5776

Fax (952)853-8728

Christopher.A.Seipel@healthpartners.com

Jacquie Hakes

(952) 883-5192

Fax (952) 853-8728

Jacquie.L.Hakes@healthpartners.com

Heartland Orthopedic Specialists

1500 Irving Street

Alexandria, MN 56308

(5/09)

Melissa Baas

(320) 762-0857  Ext. 6061

Fax (320) 762-1935

mbaas@heartlandorthopedics.com

Kim Blake

(320) 762-0857  Ext. 6058

Fax (320) 762-1935

kblake@heartlandorthopedics.com

Hennepin County Medical Center

Patient Accounting 860-8

701 Park Ave. S.

Minneapolis, MN  55415-1829

(3/06)

Penny Trudeau

(612) 873-2294

Fax (612) 904-4219

penny.trudeau@co.hennepin.mn.us

 

Tosha Poole

(612) 873-3667

Fax (612) 904-4219

tosha.poole@hennepin.mn.us

 

High Point Surgery Center

8650 Hudson Blvd.  Suite 235

Lake Elmo, MN  55042

(3/06)

Lori A. Gavin

(651)702-7401

Fax (651)702-7414

lgavin@hpsurgery.com

 

Traci Albers

(651) 702-7408

Fax (651)702-7414

talbers@hpsurgery.com

 

Hospitals-For Allina Hospitals,

See Allina Hospitals Health System

 

 

Immanuel St. Joseph’s Mayo Health System (Clinic and Hospital)

Attn:  Business Office  

1025 Marsh St.

P.O. Box 8673

Mankato, MN  56002

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu

 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Indian Health Service

(4/07)

See U.S. Department of Health and Human Services

 

Ingenix (for UCare, Medica, United Healthcare)

12125 Technology Drive

Eden Prairie, MN  55344

(6/08)

Kristie Grabowski

(952) 833-6477

Fax (800) 708-6401

kristie.grabowski@ingenix.com

 

Institute for Low Back and Neck Care, PA (ILBNC)

3001 Metro Drive, Suite 330

Bloomington, MN 55425

(6/07)

Laura Tolbert

(952) 814-6663

ltolbert@ilbnc.com

Nicole Taft

(952) 814-6619

ntaft@ilbnc.com

International Brotherhood of Electrical Workers 292 Health Care Plan

5100 Gamble Drive  Suite 430

St. Louis Park, MN  55416

(3/06)

Thomas McCormick (atty)

701 Fourth Ave. S.  Suite 500

Minneapolis, MN  55415

(612) 337-9550

Fax (612) 337-9049

tom@mccormicklawoffice.com

Julie Gessell

(952) 591-7733

Fax (952) 591-7728

julie@ibew292benefits.com

Lake City Medical Center (Clinic and Hospital)

Mayo Health System

Attn:  Business Office  

500 West Grant St.

Lake City, MN  55041

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Lakeview Hospital

927 West Churchill Street

Stillwater, MN 55082

(11/09)

 

Mike Powers

(651) 430-4533

Fax (651) 430-8591

mikep@lakeview.org

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

Landmark Surgery Center

17 W. Exchange St.  Suite 310

St. Paul, MN  55102

(3/06)

Tammy Gerard

(651) 842-5264

Fax (651) 842-5492

tgerard@summitortho.com

 

Jayne Baker

(651) 842-5463

Fax (651) 842-5492

jbaker@summitortho.com

Luther Hospital/Midelfort Clinic

Mayo Health System

Attn:  Business Office  

1400 Bellinger St.

Eau Claire, WI 54703

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Madelia Clinic

Mayo Health System

Attn:  Business Office  

115 Drew Ave. SE

Madelia, MN  55912

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Madison National Life Insurance Co., Inc.

P.O. Box 5008

Madison, WI 53705

(10/07)

Joe E. Thompson (atty)

JMSK Law

P.O. Box  913

Willmar, MN 56201

(320) 235-2000

Cell (320) 212-7273

Fax (320) 235-0480

joethompson@jmsklaw.com

Paul Butters

(608) 830-2411

pjb@madisonlife.com

 MAPS- Medical Advanced Pain Specialists

2104 Northdale Blvd. Suite 220

Minneapolis, MN  55433

(3/06)

Mark Pixler

(763) 537-6000 Ext. 234

Fax (763) 767-7193

mpixler@painphysicians.com

 

Brian Hicks

(763) 537-7164

Fax (763) 767-7193

bhicks@painphysicians.com

 

Marquette Chiropractic Center

501 Marquette Avenue, Suite 170

Minneapolis, MN 55402

(9/06)

Dr. Gary Miller

(612) 870-1500

Fax (612) 870-1551

ohwdc@msn.com

Mary Miller

(612) 870-1500

Fax (612) 870-1551

sreysau@comcast.net

Mayo Clinic/St. Mary’s Hospital/Rochester Methodist Hospital/Mayo Clinic Pharmacy/Mayo Store

Attn:  Business Office  

200 First St. SW

Rochester, MN  55912

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu

 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Medica Health Plans/Ingenix

(3/06)

See Ingenix

 

Medicare Part A

MSPRC WC

P.O. Box 33831

Detroit, MI 48232-3831

(1-866-677-7220)

(1/09)

 

 

Medicare Part B/United Health Care

8120 Penn Ave. S.

Bloomington, MN  55431

 

 

Methodist Hospital

Third Party-Workers’ Compensation

6500 Excelsior Blvd.

St. Louis Park, MN  55426

(11/09)

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

 

Midwest Radiology

(6/07)

See St. Paul Radiology

 

MII Life, Inc.

P.O. Box 64560

St. Paul, MN  55164

(4/06)

Greg Walsh

(651) 662-6278

Fax (651) 662-1099

greg_walsh@bluecrossmn.com

 

Thomas F. Gilde (atty)  (651) 662-2257

Fax (651) 662-1099

Minneapolis On-Sale Liquor Trust Fund

(01/08)

See Rosene, Haugrud & Staab, Chtd.

 

Miller Dwan Medical Center

(3/06)

See St. Mary’s Duluth Clinic Health System

 

 

MMSI

Attn:  Subrogation Unit

4001 41st St. NW

Rochester, MN  55901

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

MN and North Dakota Bricklayers and Allied Craftworkers Fringe Benefit Funds

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

MN and North Dakota Bricklayers and Allied Craftworkers Health Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

MN Cement Masons Health and Welfare Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

MN Department of Employment and Economic Development

332 Minnesota St.  Suite E200

St. Paul, MN  55101-1351

Tax ID# 41-1681137

(7/10)

Emily Brooks-Lipor

(651) 259-2633

Fax (651) 297-7559

emily.brooks@state.mn.us

 

 

MN Department of Human Services

Health Care Operations/Benefit Recovery Unit

P.O. Box 64994

St. Paul, MN  55164-0994

(3/06)

Michael Schoff (atty)

(651) 431-3137

Fax (651) 431-7431

michael.schoff@state.mn.us

 

 

MN Department of Labor and Industry

Vocational Rehabilitation Unit

443 Lafayette Rd. N.

St. Paul, MN  55155

www.doli.state.mn.us

(3/06)

Cheryl Eliason

(651) 284-5414

Fax (651) 284-5734

cheryl.eliason@state.mn.us

 

Gerald Meyer, Director

(651) 284-5007

Fax (320) 255-3951

gerald.meyer@state.mn.us

MN Surgery Center

2104 Northdale Blvd.  Suite 220

Minneapolis, MN  55433

(3/06)

Mark Pixler

(763) 537-6000 Ext. 234

Fax (763) 767-7193

mpixler@painphysicians.com

 

Brian Hicks

(763) 767-7164

Fax (763) 537-6666

bhicks@painphysicians.com

 

MN Teamsters Health & Welfare Fund

C/o Wilson McShane Co.

3001 Metro Drive

Suite 500

Bloomington, MN  55425

(3/06)

Mike Theirl

(952) 854-0795

Fax (952) 854-1632

mtheirl@wilson-mcshane.com 

Thomas McCormick (atty)

701 Fourth Ave. S.  Suite 500

Minneapolis, MN  55415

(612) 337-9550

Fax (612) 337-9049

tom@mccormicklawoffice.com 

Mobile Imaging

(3/06)

See Consulting Radiology

 

 

Neurosurgical Associates, Ltd.

305 Piper Building

800 E. 28th St.

Minneapolis, MN  55407

(3/06)

Nicole Lucas

(612) 879-7157

Fax (612) 879-7189

nlucas@neurosurgicalassocs.com

 

North Memorial Ambulance

Attn: Julie Lee

4501 – 68th Avenue North

Brooklyn Center, MN 55429

(4/11)

Julie Lee

(763) 520-4323

Fax (763) 520-7730

julie.lee@northmemorial.com

 

Rosie Anderson

(763) 520-4319

Fax (763) 520-7730

rosie.anderson@northmemorial.com

 

North Memorial Health Care

Intervention Notice-Business Office

3300 Oakdale Avenue North

Robbinsdale, MN 55442

(11/09)

North Memorial Health Care

(763) 520-5400

 

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

NovaCare Rehabilitation

2104 Northdale Blvd. NW

Coon Rapids, MN 55433

(2/14)

Peggy Patten

(763) 350-2058

Fax (717) 635-3915

ppatten@hq.novacare.com

 

Operating Engineers Local 49 Health & Welfare Fund

3001 Metro Dr. Suite 500

Bloomington, MN  55425

(3/06)

Jensen, Bell, Converse & Erickson (attys)

Caroline Bell Beckman or Kari Quinn

30 E Seventh St.  Suite 1500

St. Paul, MN  55101

(651) 223-4999

Fax (651) 223-4987

 

Mike Theirl

Wilson McShane

(952) 854-0795

Fax (952) 854-1632

Owatonna Clinic

Mayo Health System

Attn:  Business Office  

134 Southview Ave.

Owatonna, MN  55060

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229 bierman.charles@mayo.edu  

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Parker Chiropractic, P.A.

1320 S. Frontage Rd. Suite 102

Hastings, MN  55033

(3/06)

Dr. Bill Parker 

(651) 480-2200

Fax (651) 480-1551

billparkerdc@earthlink.net

 

Park Nicollet Health Services

Third Party-Workers’ Compensation

3800 Park Nicollet Blvd.

St. Louis Park, MN  55426

(11/09)

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

 

Perham Memorial Hospital and Home

665 Third Street S.W.

Perham, MN 56573

(4/11)

Dawn Winter

(218) 347-1353

Fax (218) 347-1357

dawn.winter@pmhh.com

Nora Heinecke

(218) 347-1341

Fax (218) 347-1357

nora.heinecke@pmhh.com

Plumbers and Steamfitters Local 6 Health and Welfare Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

 Polinski Rehabilitation Center  (3/06)

See St. Mary’s Duluth Clinic Health System

 

Professional Associates of Rehabilitation, Inc. (PAR, Inc.)

2874 Middle Street

Little Canada, MN 55110

(9/10)

Lisa Fischer

(651) 766-8307

Fax (651) 766-8308

lisaf@minnworkcomp.com

Deb Rush

(651) 766-8307

Fax (651) 766-8308

debr@minnworkcomp.com

Public Health Service

(4/07)

See U.S. Department of Health and Human Services

 

Preferred One Administrative Services/First Class Recoveries, Inc.

(3/09)

See First Class Recoveries, Inc.

 

Primary Behavioral Health Clinic, Inc.

3433 Broadway St. NE Suite 160

Minneapolis, MN  55413

(4/06)

Carol Sax

(612) 378-2363

cell (612) 743-3447

Fax (612) 378-2215

pbhc42380@aol.com

 

Dr. John Cronin

(612) 378-2363

cell (612) 743-3447

Fax (612) 378-2215

pbhc423280@aol.com

 

Prime Meridian, Inc.

501 Marquette Avenue, Suite 170

Minneapolis, MN 55402

(9/06)

Jared Madsen, L.Ac.

(612) 870-1500

Fax (612) 870-1551

jedmadsen@hotmail.com

Mary Miller

(612) 870-1500

Fax (612) 870-1551

sreysau@comcast.net

Red Cedar Medical Center

Mayo Health System

Attn:  Business Office  

625 N. Jackson

P.O. Box 146

Springfield, MN  56087

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229 bierman.charles@mayo.edu

 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Red Lake Indian Hospital

(4/07)

See U.S. Department of Health and Human Services

 

Regions Hospital

640 Jackson St.

Mail Stop 12403A

St. Paul, MN  55101

(11/09)

Jo Fleming, Collection Mgr.

(651) 254-1795

Fax (651) 254-3881

jo.e.fleming@healthpartners.com

Kris Wittwer/Jessica Syverson  (attorneys)

1700 Highway 36 W, Suite 640

Roseville, MN  55113

(651) 493-2934

Fax (651) 493-2987

kwittwer@wittwerlaw.com

jsyverson@wittwerlaw.com

Rice Memorial Hospital

301 Becker Avenue SW

Willmar, MN 56201

(4/11)

Jackie Hinderks

(320) 231-4425

Fax (320) 231-4879

jhinderks@rice.willmar.mn.us

 

Bill Fenske

(320) 231-4009

Fax (320) 231-4879

fenskeb@rice.willmar.mn.us

 

Roofers Local No. 96 Health and

Welfare Fund

(1/08)

See Rosene, Haugrud & Staab, Chtd.

 

Rosene, Haugrud & Staab, Chtd.

Attn:  Aaron Decker

400 Robert Street North, Suite 1800

St. Paul, MN 55101

http://www.rhschtd.com

(01/08)

Stephen C. Kelly (atty)

(651) 227-6621

Fax (651) 297-6642

skelly@rhschtd.com

 

St. Cloud Orthopedic Associates, Ltd.

1555 Northway Drive

St. Cloud, MN 56303

7/07

Elaine Poulsen

(320) 257-7838

 

St. Croix County Department of Health & Human Services

Office of Corporation Counsel

St. Croix County Government Center

1101 Carmichael Road

Hudson, WI 54016

(8/06)

Donald Gillen

Assistant Corporation Counsel

(715) 381-4313

Fax (715) 381-4301

donjg@co.saint-croix.wi.us

Nancy Muller

Fraud/FEV Coordinator

(715) 246-8304

Fax (715)246-8220

nancym@co.saint-croix.wi.us

St. Luke’s Hospital and Regional Trauma Center

915 E. First. St.

Duluth, MN  55805

(218) 733-5737

(3/06)

Diana Bouschor Dodge (atty)

230 W. Superior St.  Suite 800

Duluth, MN  55802

(218) 722-6331

Fax (218) 722-3031

ddodge@duluthlaw.com

Mary Laverdiere

(218) 249-5282

Fax (218) 249-6037

mlaverdiere@slhduluth.com

St. Mary’s Duluth Clinic Health System

400 E. Third St.

Duluth, MN  55805

(3/06)

Karen A. Sirois, Paralegal

(218) 786-3122

Fax (218) 723-8093

ksirois@smdc.org

 

Wendy Schwartz

(218) 786-3394

Fax (218) 723-8093

wschwartz@smdc.org

St. Mary’s Hospital

1216 Second St. SW

Rochester, MN  55902

(507) 255-5123 (3/06)

See Mayo Clinic

 

St. Mary’s Medical Center,

Duluth or St. Mary’s Hospital, Superior  (3/06)

See St. Mary’s Duluth Clinic Health System

 

St. Paul Radiology

166 Fourth St. East

St. Paul, MN  55101

(11/10)

Katie Willard

(651) 767-1400, Ext. 2357

Fax (651) 292-2156

kwillard@stpaulrad.com

Melissa L. Larsen (supervisor)

(651) 767-1400 Ext. 2042

Fax (651) 697-6499

mlarsen@stpaulrad.com

Sanford Health

Legal Department

P.O. Box 2010

Fargo, ND 58122-0786

(8/10)

Penny Hoppe, Business Services

(701) 234-1232

Fax (701) 234-1005

penny.hoppe@sanfordhealth.org

 

Spine Imaging MRI

393 N. Dunlap St. 

Suite LL40

St. Paul, MN  55104

(3/06)

Eduardo Bultan

(651) 647-0000

Fax(651) 645-9000

Jennifer Hentges

(651) 647-0000

Fax (651)645-9000

State Farm Insurance

Lincoln Operations Center

500 South 84th St.

Lincoln, NE 68510-2611

(4/10)

Mark Tolzin

(402) 327-3460

Fax (402) 327-3469

mark.tolzin.a4g1@statefarm.com

Jay Rine

(402) 327-3580

Fax (402) 327-3469

jay.rine.i54r@statefarm.com

StoneRiver Pharmacy Solutions

(f/k/a Third Party Solutions)

2600 Thousand Oaks, Suite 4000

Memphis, TN 38118

(3/09)

Michael Crislip

(800) 541-5241, Ext. 1638

 

Suburban Imaging or Suburban Radiologic Consultants

4810 W. 81st St. #108

Minneapolis, MN  55437

(3/06)

Delia Adams

(952) 837-9700, Ext. 2076

Fax (952) 837-9701

dadams@subrad.com

Marcia Raven

(952) 837-9785

Fax (952) 837-9701

mraven@subrad.com

Teamsters – See MN Teamsters

 

 

Temecula Valley Nuclear Medicine

25485 Medical Center Dr., Suite 102

Murrieta, CA 92562

(4/11)

Deborah Banks

(951) 698-4808

Fax (951) 698-4805

Sydnee Otner

(951) 698-4808

Fax (951) 698-4805

Therapy Partners, Inc.

7581 9th Street N., Suite 100 Oakdale, MN 55128

(10/06)

Website:  www.therapypartners.com

Jennifer Mazzara

(651) 747-4317

Fax (651)-748-2892

jmazzara@therapypartners.com

Jenny Wyland

(651)-747-4326

Fax (651)-748-2892

jwyland@therapypartners.com

Third Party Solutions n/k/a StoneRiver Pharmacy Solutions

(3/09)

See StoneRiver Pharmacy Solutions

 

Trustmark Insurance Co.

c/o Jensen, Bell, Converse & Erickson

30 E. Seventh St. 

Suite 1500

St. Paul, MN  55101

(3/06)

Caroline Bell Beckman (atty)

(651) 223-4999

Fax (651)223-4987

Kari Quinn (atty)

(651) 223-4999

Fax (651) 223-4987

Twin Cities Iron Workers Health and Welfare Fund

c/o Wilson-McShane Co.

3001 Metro Drive

Suite 500

Bloomington, MN  55425

(3/06)

Rick Lemke

(952) 854-0795

Fax (952) 854-1632

rlemke@wilson-mcshane.com 

Thomas D. McCormick (atty)

701 Fourth Ave. S.  Suite 500

Minneapolis, MN  55415

(612) 337-9550

Fax (612) 337-9049

tom@mccormicklawoffice.com 

Twin City Pipe Trades Health & Welfare Fund

Attention:  Gail C.

700 Transfer Rd.

St. Paul, MN  55114

(651) 645-4540

(3/06)

James J. Hynes

(651) 645-4540

Fax (651) 645-8119

William A. Cumming (atty)

420 S. Fifth St.   Suite 864

Minneapolis, MN  55401

(612) 746-5775

Fax (612) 746-5777

wcumming@hessianmckasy.com

UCare MN/Ingenix

(3/06)

See Ingenix

 

Union Security Insurance Company (fka Fortis Benefits Insurance Company)

(3/06)

Dana L. Boyle (atty)

411 E. Wisconsin St.  Suite 1800

Milwaukee, WI  53202

(414) 273-3910

Fax (414) 273-1986

dboyle@lindner-marsack.com

website: lindner-marsack.com

 

United Food & Commercial Workers Local 789 Health & Welfare Fund

3001 Metro Drive 

Suite 500

Bloomington, MN  55425

(3/06)

McGrann Shea Law Firm

(Amy Court)

800 Nicollet Mall   Suite 2600

Minneapolis, MN  55402

(612) 338-2525

Fax (612) 339-2386

Mary Pat Baily

(952) 854-0795

Fax (952) 851-3521

United Healthcare/Ingenix

(3/06)

See Ingenix

 

U.S. Department of Health and Human Services

Office of General Counsel

233 N. Michigan Ave., Ste. 700

Chicago, IL 60601

(4/07)

C. Douglas Ferguson

Assistant Regional Counsel

Office of the General Counsel

(312) 886-3605

Fax (312) 886-1718

Douglas.ferguson@hhs.gov

Barbara Altman, Assistant Regional Counsel

Office of the General Counsel

(312) 353-1640

Fax (312) 886-1718

 

U.S. Department of Veterans Affairs

Office of Regional Counsel

V.A. Medical Center (618/02)

One Veterans Drive

Building 73

Minneapolis, MN  55417

(3/06)

Ruth M. Hildreth (atty)

Office of Regional Counsel

(612) 467-5911

Fax (612) 467-5928

Ruth.Hildreth@mail.va.gov

Other attorneys in Office of Regional Counsel

(612) 467-5900

Fax (612) 467-5928

V.A. Medical Center

See U.S. Dept. of Veteran’s Affairs

 

Wabasha Clinic

Mayo Health System

Attn:  Business Office  

1202 Fifth Grant Blvd. W

P.O. Box 30

Wabasha, MN  55981

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Walgreen Co.

1901 E. Voorhees Mail Stop 615

Danville, IL  61834

(3/06)

Various Collectors

(217) 554-8888 for contact name

Fax (217)554-8620

 

 

 

 

Waseca Medical Center

Mayo Health System

Attn:  Business Office  

501 N. State St.

Waseca, MN  56093

(7/06)

Charles S. Bierman (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

bierman.charles@mayo.edu 

Brian W. Rotty (atty)

Mayo Clinic

200 First St. SW

Rochester, MN  55905

(507) 266-0484

Fax (507) 284-9229

Wausau Benefits, Inc.

115 W. Wausau Ave.

P.O. Box 8073

Wausau, WI  54402

(3/06)

Barb Schubring

(715) 841-2113

Fax (715) 841-7254

subrogation@wausaubenefits.com

Subrogation Technician

(715) 841-2113

Fax (715) 841-7254

subrogation@wausaubenefits.com

White Earth Health Center

(4/07)

See U.S. Department of Health and Human Services

 

Wisconsin Physicians Service Insurance Corporation

1717 West Broadway

P.O. Box 8190

Madison, WI 53708-8190

(2/09)

Beth Eyster Shore (atty)

(608) 221-7137

Fax (608) 223-5898

Beth.Shore@wpsic.com

Holly D. Jensen (atty)

(608) 221-5062

Fax (608) 223-5898

Holly.Jensen@wpsic.com