Mr Jeffrey Sam Porter, MD - Medicare Emergency Medicine in Brainerd, MN

Mr Jeffrey Sam Porter, MD is a medicare enrolled "Emergency Medicine" physician in Brainerd, Minnesota. His current practice location is 523 N 3rd St, Brainerd, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 829-2861.

Mr Jeffrey Sam Porter is licensed to practice in Minnesota (license number 46608) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164496345.

Contact Information

Mr Jeffrey Sam Porter, MD
523 N 3rd St,
Brainerd, MN 56401-3054
(218) 829-2861
Not Available

Map and Direction




Physician's Profile

Full NameMr Jeffrey Sam Porter
GenderMale
SpecialityEmergency Medicine
Location523 N 3rd St, Brainerd, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164496345
  • Provider Enumeration Date: 02/15/2006
  • Last Update Date: 01/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3779568266
  • Enrollment ID: I20040621000011

Medical Identifiers

Medical identifiers for Mr Jeffrey Sam Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164496345NPI-NPPES
133444100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 46608 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jeffrey Sam Porter allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeffrey Sam Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeffrey Sam Porter, MD
1406 6th Ave N,
Saint Cloud, MN 56303-1900

Ph: (320) 253-1596
Mr Jeffrey Sam Porter, MD
523 N 3rd St,
Brainerd, MN 56401-3054

Ph: (218) 829-2861

Reviews and Comments


Emergency Medicine Doctors in Brainerd, MN

Dr. Desiree Holzer,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 523 N 3rd St, Brainerd, MN 56401
Phone: 218-829-2861    
Mr. Mark Christopher Patnode, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 523 N 3rd St, Brainerd, MN 56401
Phone: 218-829-2861    
Neil Saley, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2024 S 6th St, Brainerd, MN 56401
Phone: 218-855-5431    
Dr. Michael Haarstad, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 523 N 3rd St, Brainerd, MN 56401
Phone: 218-829-2861    
Charles William Andres, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 11483 White Pine Rd Sw, Brainerd, MN 56401
Phone: 218-829-1454    
Robert P Bacon, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 523 N 3rd St, Brainerd, MN 56401
Phone: 218-828-7494    Fax: 218-828-7611

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.