John Welter, PA is a medicare enrolled "Physician Assistant" physician in Maple Grove, Minnesota. His current practice location is
9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-1440.
John Welter is licensed to practice in Minnesota (license number 15218) 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 1972288819.
Physician's Profile
Full Name | John Welter |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 9555 Upland Ln N, Maple Grove, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972288819
- Provider Enumeration Date: 06/19/2023
- Last Update Date: 02/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123548906
- Enrollment ID: I20250224002333
Medical Identifiers
Medical identifiers for John Welter such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972288819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 15218 (Minnesota) | Secondary |
363A00000X | Physician Assistant | 15218 (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 Welter 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 |
John Welter, PA 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () - | John Welter, PA 9555 Upland Ln N, Maple Grove, MN 55369-4485 Ph: (952) 993-1440 |
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