Jonathan Lee Minor, MD in Rolla, MO

Jonathan Lee Minor, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Rolla, Missouri. He graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Modern Sports Medicine Llc and his current practice location is 910 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 342-4284.

Jonathan Lee Minor is licensed to practice in California (license number A137057) 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 1609195452.

Contact Information

	Jonathan Lee Minor, MD
	910 W 10th St, Rolla, MO 65409-6519
	(573) 342-4284
	(573) 341-6967

Map and Direction

Physician's Profile

Full Name	Jonathan Lee Minor
Gender	Male
Speciality	Hospitalist
Experience	18 Years
Location	910 W 10th St, Rolla, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Lee Minor graduated from medical school in 2008

NPI Data:

NPI Number: 1609195452
Provider Enumeration Date: 05/19/2010
Last Update Date: 03/30/2026

Medicare PECOS Information:

PECOS PAC ID: 9133344807
Enrollment ID: I20171127000785

Medical Identifiers

Medical identifiers for Jonathan Lee Minor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609195452	NPI	-	NPPES
CB238713	Other	CA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	A137057 (California)	Primary
208D00000X	General Practice	2020036607 (Missouri)	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. Jonathan Lee Minor allows following entities to bill medicare on his behalf.

Entity Name	Tmc Medical Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869

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. Jonathan Lee Minor 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
Jonathan Lee Minor, MD 910 W 10th St, Rolla, MO 65409-6519 Ph: (573) 342-4284	Jonathan Lee Minor, MD 910 W 10th St, Rolla, MO 65409-6519 Ph: (573) 342-4284

Reviews and Comments

Pediatrics Doctors in Rolla, MO

James T Burdett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-6694
Dr. Elizabeth C Dodd, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-341-4284
Shawna C Gifford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-3643
Dr. Sean A. Mcenaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 W 10th St, Suite 175, Rolla, MO 65401 Phone: 573-341-9163 Fax: 573-368-4248
Shruti Sinha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484
Dr. Jennifer Anne Barclay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 Martin Springs Dr Ste 250, Rolla, MO 65401 Phone: 573-458-6363

Jonathan Lee Minor, MD - Medicare Hospitalist in Rolla, MO