Mr Jeffrey Sam Porter, MD in Brainerd, MN - Medicare Emergency Medicine

Mr Jeffrey Sam Porter, MD is a medicare enrolled "Emergency Medicine" physician in Brainerd, Minnesota. His current practice location is 523 N 3rd St, Brainerd, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 829-2861.

Mr Jeffrey Sam Porter is licensed to practice in Minnesota (license number 46608) 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 1164496345.

Contact Information

	Mr Jeffrey Sam Porter, MD
	523 N 3rd St, Brainerd, MN 56401-3054
	(218) 829-2861
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Jeffrey Sam Porter
Gender	Male
Speciality	Emergency Medicine
Location	523 N 3rd St, Brainerd, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164496345
Provider Enumeration Date: 02/15/2006
Last Update Date: 01/29/2016

Medicare PECOS Information:

PECOS PAC ID: 3779568266
Enrollment ID: I20040621000011

Medical Identifiers

Medical identifiers for Mr Jeffrey Sam Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164496345	NPI	-	NPPES
133444100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	46608 (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. Mr Jeffrey Sam Porter allows following entities to bill medicare on his behalf.

Entity Name	St Josephs Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568415974 PECOS PAC ID: 8224948443 Enrollment ID: O20031119000468

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. Mr Jeffrey Sam Porter 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
Mr Jeffrey Sam Porter, MD 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 253-1596	Mr Jeffrey Sam Porter, MD 523 N 3rd St, Brainerd, MN 56401-3054 Ph: (218) 829-2861

Reviews and Comments

Emergency Medicine Doctors in Brainerd, MN

Dr. Desiree Holzer, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861
Mr. Mark Christopher Patnode, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861
Neil Saley, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2024 S 6th St, Brainerd, MN 56401 Phone: 218-855-5431
Dr. Michael Haarstad, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-829-2861
Charles William Andres, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 11483 White Pine Rd Sw, Brainerd, MN 56401 Phone: 218-829-1454
Robert P Bacon, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 523 N 3rd St, Brainerd, MN 56401 Phone: 218-828-7494 Fax: 218-828-7611

Mr Jeffrey Sam Porter, MD - Medicare Emergency Medicine in Brainerd, MN