Dr Scott R Pynnonen, MD is a medicare enrolled "Family Medicine" physician in Lanse, Michigan. His current practice location is
18341 Us Highway 41, Lanse, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 524-6118.
Dr Scott R Pynnonen is licensed to practice in Michigan (license number 4301046352) 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 1770691503.
Physician's Profile
| Full Name | Dr Scott R Pynnonen |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 18341 Us Highway 41, Lanse, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770691503
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 11/15/2012
Medicare PECOS Information:
- PECOS PAC ID: 8820063985
- Enrollment ID: I20040901000074
Medical Identifiers
Medical identifiers for Dr Scott R Pynnonen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770691503 | NPI | - | NPPES |
| 238646 | Other | MI | RHC MEDICARE |
| 4627462 | Medicaid | MI | |
| 2765011 | Medicaid | MI | |
| 010Z76002 SP046352 | Other | MI | BLUE CROSS ER SERVICES |
| 080Z710040 SP046352 | Other | MI | BLUE CROSS-OFFICE |
| P00186817 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 4301046352 (Michigan) | 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 Scott R Pynnonen allows following entities to bill medicare on his behalf.
| Entity Name | Baraga County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851409643
PECOS PAC ID: 7416866611
Enrollment ID: O20040826000560 |
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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 Scott R Pynnonen 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 |
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Dr Scott R Pynnonen, MD
18341 Us Highway 41,
Lanse, MI 49946-8024
Ph: (906) 524-6118 | Dr Scott R Pynnonen, MD
18341 Us Highway 41,
Lanse, MI 49946-8024
Ph: (906) 524-6118 |
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