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

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Dr Spencer Douglas Bonnerup, MD is a medicare enrolled "Hospitalist" physician in Red Wing, Minnesota. He graduated from medical school in 2024 and has 1 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Good Samaritan Hospital Physician Services, Inc, Apogee Medical Group Indiana Pc and 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 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 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 NameDr Spencer Douglas Bonnerup
GenderMale
SpecialityInternal Medicine
Experience1 Years
Location701 Hewitt Blvd, Red Wing, Minnesota
Accepts Medicare AssignmentsYes. 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 Spencer Douglas Bonnerup graduated from medical school in 2024
  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.
IdentifierTypeStateIssuer
1376129411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 11021682A (Indiana)Secondary
208M00000XHospitalist 79791 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Good Samaritan HospitalVincennes, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Good Samaritan Hospital Physician Services, Inc3971671330123
Apogee Medical Group Indiana Pc872915574268

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 NameApogee Medical Group Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093973885
PECOS PAC ID: 8729155742
Enrollment ID: O20080917000320
Entity NameGood Samaritan Hospital Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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: Accepting Medicare Assignments
Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066
Phone: 651-267-5000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.