John Wayne Samuelson, DC is a medicare enrolled "Chiropractor - Orthopedic" provider in Aurora, Minnesota. His current practice location is
13 W 2nd Ave N, Aurora, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 229-3638.
John Wayne Samuelson is licensed to practice in Minnesota (license number 1626) 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 1275617128.
Healthcare Provider's Profile
| Full Name | John Wayne Samuelson |
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| Gender | Male |
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| Speciality | Chiropractor - Orthopedic |
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| Location | 13 W 2nd Ave N, Aurora, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1275617128
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163511783
- Enrollment ID: I20071205000307
Medical Identifiers
Medical identifiers for John Wayne Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1275617128 | NPI | - | NPPES |
| 69716SA | Other | MN | BLUE CROSS BLUE SHIELD |
| 230743 | Other | MN | CHIROCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111NX0800X | Chiropractor - Orthopedic | 1626 (Minnesota) | Primary |
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. John Wayne Samuelson 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 Address | Practice Location Address |
John Wayne Samuelson, DC 13 W 2nd Ave N, Aurora, MN 55705-1313 Ph: (218) 229-3638 | John Wayne Samuelson, DC 13 W 2nd Ave N, Aurora, MN 55705-1313 Ph: (218) 229-3638 |
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