Charles B Donovan, MD in Edina, MN

Charles B Donovan, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Edina, Minnesota. His current practice location is 7505 Metro Blvd Ste 400, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 573-2200.

Charles B Donovan is licensed to practice in Minnesota (license number 48603) 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 1124077912.

Contact Information

	Charles B Donovan, MD
	7505 Metro Blvd Ste 400, Edina, MN 55439
	(612) 573-2200
	(612) 573-2274

Map and Direction

Physician's Profile

Full Name	Charles B Donovan
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	7505 Metro Blvd Ste 400, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124077912
Provider Enumeration Date: 05/09/2006
Last Update Date: 06/28/2018

Medicare PECOS Information:

PECOS PAC ID: 6901709187
Enrollment ID: I20060620000215

Medical Identifiers

Medical identifiers for Charles B Donovan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124077912	NPI	-	NPPES
2443230	Other	MN	AMERICA'S PPO
505P3DO	Other	MN	BLUE CROSS BLUE SHIELD
HP63008	Other	MN	HEALTHPARTNERS
99112184	Other	WI	WI HEALTH INSURANCE RISK SHARING PLAN
0721050	Medicaid	IA
16-04146	Other	MN	MEDICA
252817	Other	MN	MIDLANDS CHOICE INC
1046956	Other	MN	PREFERRED ONE
9103415	Other	MN	PHCS/MULTIPLAN
P00327700	Other	MN	RAILROAD MEDICARE MN
133042	Other	MN	UCARE
P00327697	Other	WI	RAILROAD MEDICARE WI
34864100	Medicaid	WI
621966700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	48603 (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. Charles B Donovan allows following entities to bill medicare on his behalf.

Entity Name	Mankato Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629044029 PECOS PAC ID: 5597677955 Enrollment ID: O20031104000231

Entity Name	Noran Neurological Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710098306 PECOS PAC ID: 3971497389 Enrollment ID: O20040209000324

Entity Name	St Francis Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408

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. Charles B Donovan 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
Charles B Donovan, MD 7505 Metro Blvd Ste 400, Edina, MN 55439-3010 Ph: (612) 573-2200	Charles B Donovan, MD 7505 Metro Blvd Ste 400, Edina, MN 55439 Ph: (612) 573-2200

Reviews and Comments

Radiology Doctors in Edina, MN

Christopher Calixte, MD Radiology Medicare: Medicare Enrolled Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903
Paul D Guisler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Rati Narendra Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Susanne S. Kim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Dr. Larry Scott Kessler, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Lawrence S. Liebman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr, Edina, MN 55435 Phone: 952-595-1301 Fax: 612-294-4903
Joseph P Williams Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Minnesota Dr Ste 800, Edina, MN 55435 Phone: 952-595-1100 Fax: 612-294-4903

Charles B Donovan, MD - Medicare Radiology in Edina, MN