John Edward Speakman, PA is a medicare enrolled "Physician Assistant" physician in Bloomington, Minnesota. His current practice location is
4300 Market Pte Dr Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 767-4574.
John Edward Speakman is licensed to practice in Minnesota (license number 14666) 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 1396413548.
Physician's Profile
| Full Name | John Edward Speakman |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 4300 Market Pte Dr Ste 100, Bloomington, Minnesota |
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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: 1396413548
- Provider Enumeration Date: 09/02/2021
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5193173326
- Enrollment ID: I20231129001959
Medical Identifiers
Medical identifiers for John Edward Speakman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396413548 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | PA66007 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 14666 (Minnesota) | Primary |
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. John Edward Speakman 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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John Edward Speakman, PA
820 E Mountain View St,
Barstow, CA 92311-3004
Ph: () - | John Edward Speakman, PA
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435
Ph: (952) 767-4574 |
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