Dr John Robert Paulson, MD in Maple Grove, MN

Dr John Robert Paulson, MD is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. His current practice location is 12000 Elm Creek Blvd N, #250, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 401-8300.

Dr John Robert Paulson is licensed to practice in Minnesota (license number 38883) 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 1457322802.

Contact Information

	Dr John Robert Paulson, MD
	12000 Elm Creek Blvd N, #250, Maple Grove, MN 55369-7073
	(952) 401-8300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr John Robert Paulson
Gender	Male
Speciality	Pediatrics
Location	12000 Elm Creek Blvd N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457322802
Provider Enumeration Date: 02/01/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2860813896
Enrollment ID: I20200529002759

Medical Identifiers

Medical identifiers for Dr John Robert Paulson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457322802	NPI	-	NPPES
111714	Other	MN	UCARE
1208118	Other	MN	MEDICA
32Y76PA	Other	MN	BLUECROSS
CP9041011314	Other	MN	PREFERRED ONE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	38883 (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. Dr John Robert Paulson allows following entities to bill medicare on his behalf.

Entity Name	South Lake Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564

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 John Robert Paulson 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 John Robert Paulson, MD 17705 Hutchins Dr, #101, Minnetonka, MN 55345-4145 Ph: (952) 401-8300	Dr John Robert Paulson, MD 12000 Elm Creek Blvd N, #250, Maple Grove, MN 55369-7073 Ph: (952) 401-8300

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Dr John Robert Paulson, MD - Medicare Pediatrics in Maple Grove, MN