Jacob Frank Wynne, MD in Grand Forks, ND

Jacob Frank Wynne, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Grand Forks, North Dakota. His current practice location is 960 S Columbia Rd, Grand Forks, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 780-5400.

Jacob Frank Wynne is licensed to practice in North Dakota (license number 20929) 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 1508325861.

Contact Information

	Jacob Frank Wynne, MD
	960 S Columbia Rd, Grand Forks, ND 58201
	(701) 780-5400
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacob Frank Wynne
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	960 S Columbia Rd, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508325861
Provider Enumeration Date: 03/17/2019
Last Update Date: 07/11/2024

Medicare PECOS Information:

PECOS PAC ID: 2365777372
Enrollment ID: I20240715003016

Medical Identifiers

Medical identifiers for Jacob Frank Wynne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508325861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	20929 (North Dakota)	Primary
207R00000X	Internal Medicine	11037 (Georgia)	Secondary

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. Jacob Frank Wynne allows following entities to bill medicare on his behalf.

Entity Name	Altru Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714

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. Jacob Frank Wynne 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
Jacob Frank Wynne, MD Po Box 13780, Grand Forks, ND 58208 Ph: (701) 780-1891	Jacob Frank Wynne, MD 960 S Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-5400

Reviews and Comments

Radiology Doctors in Grand Forks, ND

Bernie J Dallum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd - Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-5246
Gerald S Smyser, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Dr. Andrew Lukaszewicz, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300
Randall J Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Marshall Winchester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Larissa L Hood, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Justin Mauch, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477

Jacob Frank Wynne, MD - Medicare Radiology in Grand Forks, ND