Bethany K Lund, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" physician in Saint Paul, Minnesota. Her current practice location is
640 Jackson St, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 254-4887.
Bethany K Lund is licensed to practice in Minnesota (license number 13864) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316609290.
Physician's Profile
| Full Name | Bethany K Lund |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 640 Jackson St, Saint Paul, 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: 1316609290
- Provider Enumeration Date: 10/08/2021
- Last Update Date: 11/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163811142
- Enrollment ID: I20211112000717
Medical Identifiers
Medical identifiers for Bethany K Lund such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316609290 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 13864 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 13864 (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. Bethany K Lund 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 |
Bethany K Lund, PHYSICIAN ASSISTANT 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: () - | Bethany K Lund, PHYSICIAN ASSISTANT 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 254-4887 |
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