Dr Jack Leon-max Mutnick, MD in Edina, MN - Medicare Allergy/immunology

Dr Jack Leon-max Mutnick, MD is a medicare enrolled "Internal Medicine" physician in Edina, Minnesota. He went to University Of Nevada School Of Medicine and graduated in 2004 and has 21 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Primary Ent, L.l.c. and his current practice location is 3939 W 69th St Ste A, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 930-8462.

Dr Jack Leon-max Mutnick is licensed to practice in Minnesota (license number 48180) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487601316.

Contact Information

	Dr Jack Leon-max Mutnick, MD
	3939 W 69th St Ste A, Edina, MN 55435-2001
	(612) 930-8462
	(800) 785-5608

Map and Direction

Physician's Profile

Full Name	Dr Jack Leon-max Mutnick
Gender	Male
Speciality	Allergy/immunology
Experience	21 Years
Location	3939 W 69th St Ste A, Edina, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack Leon-max Mutnick attended and graduated from University Of Nevada School Of Medicine in 2004

NPI Data:

NPI Number: 1487601316
Provider Enumeration Date: 05/27/2006
Last Update Date: 12/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1658400866
Enrollment ID: I20100526001002

Medical Identifiers

Medical identifiers for Dr Jack Leon-max Mutnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487601316	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207K00000X	Allergy & Immunology	48180 (Minnesota)	Secondary
207R00000X	Internal Medicine	48180 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Primary Ent, L.l.c.	1658754015	5

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. Dr Jack Leon-max Mutnick allows following entities to bill medicare on his behalf.

Entity Name	Primary Ent, L.l.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386374593 PECOS PAC ID: 1658754015 Enrollment ID: O20220817002202

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. Dr Jack Leon-max Mutnick 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
Dr Jack Leon-max Mutnick, MD 3440 Molina St, Shakopee, MN 55379-5444 Ph: (714) 296-6777	Dr Jack Leon-max Mutnick, MD 3939 W 69th St Ste A, Edina, MN 55435-2001 Ph: (612) 930-8462

Reviews and Comments

Internal Medicine Doctors in Edina, MN

Christopher Stefonowicz, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 100, Edina, MN 55435 Phone: 952-832-8100
Dr. Mohammad H Arbabi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 6500 France Ave S, Edina, MN 55435 Phone: 952-924-8117 Fax: 844-422-7933
Anne Marie Rosenberg, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7500 France Ave S, Edina, MN 55435 Phone: 952-835-1311
David Lewis Bowlin, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 6363 France Ave S, Suite 400, Edina, MN 55435 Phone: 952-920-2070 Fax: 952-920-7444
Jody Kay Hargrove, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954
Jeffrey Lee Wilson, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7600 France Ave S Ste 5100, Edina, MN 55435 Phone: 952-893-1959 Fax: 952-893-1954
Brian Berglund, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 8100 W 78th St Ste 100, Edina, MN 55439 Phone: 952-914-8100

Dr Jack Leon-max Mutnick, MD - Medicare Allergy/immunology in Edina, MN