Dr Jacob Isaac Mirman, MD in Saint Louis Park, MN

Dr Jacob Isaac Mirman, MD is a medicare enrolled "Internal Medicine" physician in Saint Louis Park, Minnesota. He went to University Of Minnesota Medical School and graduated in 1987 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Life Medical Pa and his current practice location is 4201 Excelsior Blvd, Saint Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 933-8900.

Dr Jacob Isaac Mirman is licensed to practice in Minnesota (license number 33594) 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 1568404440.

Contact Information

	Dr Jacob Isaac Mirman, MD
	4201 Excelsior Blvd, Saint Louis Park, MN 55416-4728
	(952) 933-8900
	(952) 945-9536

Map and Direction

Physician's Profile

Full Name	Dr Jacob Isaac Mirman
Gender	Male
Speciality	Internal Medicine
Experience	38 Years
Location	4201 Excelsior Blvd, Saint Louis Park, 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 Jacob Isaac Mirman attended and graduated from University Of Minnesota Medical School in 1987

NPI Data:

NPI Number: 1568404440
Provider Enumeration Date: 06/12/2006
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 9537263058
Enrollment ID: I20070322000334

Medical Identifiers

Medical identifiers for Dr Jacob Isaac Mirman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568404440	NPI	-	NPPES
959862600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	33594 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Life Medical Pa	6204938350	8

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 Jacob Isaac Mirman allows following entities to bill medicare on his behalf.

Entity Name	Life Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740222496 PECOS PAC ID: 6204938350 Enrollment ID: O20070221000166

Entity Name	Minnesota Medical And Rehabilitative Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154302545 PECOS PAC ID: 6406764703 Enrollment ID: O20100728001200

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 Jacob Isaac Mirman 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 Jacob Isaac Mirman, MD 4201 Excelsior Blvd, St Louis Park, MN 55416-4728 Ph: (952) 933-8900	Dr Jacob Isaac Mirman, MD 4201 Excelsior Blvd, Saint Louis Park, MN 55416-4728 Ph: (952) 933-8900

Reviews and Comments

Internal Medicine Doctors in Saint Louis Park, MN

Craig E Marshall, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-5911 Fax: 952-993-0300
Rachel E. Lerner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Ste E400, Saint Louis Park, MN 55426 Phone: 952-993-3230
Dr. Michael J. Bleet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416 Phone: 952-993-1000
Dr. David Brokl, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-3246
Dylan Zylla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, Saint Louis Park, MN 55426 Phone: 612-341-4800
Yuan Neumair, PA-C Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, Saint Louis Park, MN 55416 Phone: 952-993-1000
Elizabeth Bisinov, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Saint Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010

Dr Jacob Isaac Mirman, MD - Medicare Internal Medicine in Saint Louis Park, MN