Mark S Dwyer, MD is a medicare enrolled "Ophthalmology" physician in Bemidji, Minnesota. His current practice location is
1611 Anne St Nw, Bemidji, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 333-2020.
Mark S Dwyer is licensed to practice in Minnesota (license number 34382) 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 1962420505.
Physician's Profile
| Full Name | Mark S Dwyer |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1611 Anne St Nw, Bemidji, 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: 1962420505
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698736437
- Enrollment ID: I20110124001008
Medical Identifiers
Medical identifiers for Mark S Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962420505 | NPI | - | NPPES |
| 783008400 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 34382 (Minnesota) | Primary |
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. Mark S Dwyer allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Health of Northern Minnesota |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442 |
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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. Mark S Dwyer 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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Mark S Dwyer, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: Not Available | Mark S Dwyer, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114
Ph: (218) 333-2020 |
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