Dr Spencer Douglas Bonnerup, MD in Red Wing, MN

Dr Spencer Douglas Bonnerup, MD is a medicare enrolled "Hospitalist" physician in Red Wing, Minnesota. His current practice location is 701 Hewitt Blvd, Red Wing, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 267-5000.

Dr Spencer Douglas Bonnerup is licensed to practice in Minnesota (license number 79791) 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 1376129411.

Contact Information

	Dr Spencer Douglas Bonnerup, MD
	701 Hewitt Blvd, Red Wing, MN 55066-2848
	(651) 267-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Spencer Douglas Bonnerup
Gender	Male
Speciality	Hospitalist
Location	701 Hewitt Blvd, Red Wing, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376129411
Provider Enumeration Date: 03/19/2021
Last Update Date: 09/03/2025

Medicare PECOS Information:

PECOS PAC ID: 9830599034
Enrollment ID: I20240606002669

Medical Identifiers

Medical identifiers for Dr Spencer Douglas Bonnerup such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376129411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	11021682A (Indiana)	Secondary
208M00000X	Hospitalist	79791 (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 Spencer Douglas Bonnerup allows following entities to bill medicare on his behalf.

Entity Name	Apogee Medical Group Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093973885 PECOS PAC ID: 8729155742 Enrollment ID: O20080917000320

Entity Name	Good Samaritan Hospital Physician Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649432071 PECOS PAC ID: 3971671330 Enrollment ID: O20081013000182

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 Spencer Douglas Bonnerup 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 Spencer Douglas Bonnerup, MD Po Box 860912, Minneapolis, MN 55486-0912 Ph: (507) 284-2511	Dr Spencer Douglas Bonnerup, MD 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000

Reviews and Comments

Hospitalist Doctors in Red Wing, MN

Santhi Subramaniam, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Gayathri Chalikonda, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000

Dr Spencer Douglas Bonnerup, MD - Medicare Hospitalist in Red Wing, MN