Justin T Conley, MD in Alexandria, MN

Justin T Conley, MD is a medicare enrolled "Pediatrics" physician in Alexandria, Minnesota. His current practice location is 610 30th Ave W, Alexandria, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 763-5123.

Justin T Conley is licensed to practice in Minnesota (license number 48867) 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 1033135298.

Contact Information

	Justin T Conley, MD
	610 30th Ave W, Alexandria, MN 56308-3426
	(320) 763-5123
	(320) 763-7883

Map and Direction

Physician's Profile

Full Name	Justin T Conley
Gender	Male
Speciality	Pediatrics
Location	610 30th Ave W, Alexandria, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033135298
Provider Enumeration Date: 07/14/2006
Last Update Date: 10/27/2016

Medicare PECOS Information:

PECOS PAC ID: 9931103330
Enrollment ID: I20060825000414

Medical Identifiers

Medical identifiers for Justin T Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033135298	NPI	-	NPPES
135595	Other	MN	UCARE #
623E1CO	Other	MN	MN BCBS #
27253	Other	MN	NDBCBS #
HP69889	Other	MN	HEALTHPARTNERS #
0012-0006861	Other	MN	MEDICA
010437100	Medicaid	MN
1033135298	Other	MN	PRIMEWEST HEALTHCARE
1203709	Other	MN	MEDICA #
13904	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	48867 (Minnesota)	Primary
208000000X	Pediatrics	4301111066 (Michigan)	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. Justin T Conley allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Bethesda Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483

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. Justin T Conley 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
Justin T Conley, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123	Justin T Conley, MD 610 30th Ave W, Alexandria, MN 56308-3426 Ph: (320) 763-5123

Reviews and Comments

Pediatrics Doctors in Alexandria, MN

Brian D Carlsen, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 610 30th Avenue West, Alexandria Clinic, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Jean K Fahey, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 30th Avenue West, Alexandria Clinic Pa, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Marcine P Ellwein, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883
Ann Renner, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123
Kenneth J. Martin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 Fax: 320-763-7883

Justin T Conley, MD - Medicare Pediatrics in Alexandria, MN