Myron Brook Redd, MD is a medicare enrolled "Surgery" physician in Thief River Falls, Minnesota. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1988 and has 37 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Pro Health One Inc and his current practice location is
3001 Sanford Pkwy, Thief River Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 681-4747.
Myron Brook Redd is licensed to practice in Minnesota (license number 46083) 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 1962438770.
Physician's Profile
| Full Name | Myron Brook Redd |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 37 Years |
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| Location | 3001 Sanford Pkwy, Thief River Falls, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Myron Brook Redd attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1988
NPI Data:
- NPI Number: 1962438770
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 05/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658335393
- Enrollment ID: I20200211000247
Medical Identifiers
Medical identifiers for Myron Brook Redd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962438770 | NPI | - | NPPES |
| 014982900 | Medicaid | MN | |
| 375J0RE | Other | MN | MNBS# |
| 23407 | Other | MN | NDBS# |
| 43450017 | Other | MO | BCBS |
| 1862175 | Other | MN | AMERICA'S PPO/ARAZ# |
| P00033158 | Other | MN | MEDICARE ID-TYPE UNSPECIFIED, RR MEDICARE |
| 1701054 | Other | MN | MEDICA # |
| DA9021035197 | Other | MN | PREFERRED ONE # |
| 020001912 | Other | MN | MEDICARE ID-TYPE UNSPECIFIED, MN MEDICARE # |
| 12531 | Medicaid | MN | |
| HP39362 | Other | MN | HEALTHPARTNERS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 2009038289 (Missouri) | Secondary |
| 208600000X | Surgery | 46083 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pro Health One Inc | 2466778089 | 18 |
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. Myron Brook Redd allows following entities to bill medicare on his behalf.
| Entity Name | Pro Health One Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20171120000890 |
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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. Myron Brook Redd 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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Myron Brook Redd, MD
11608 Hwy 32 Ne,
Thief River Falls, MN 56701-2700
Ph: (218) 280-7062 | Myron Brook Redd, MD
3001 Sanford Pkwy,
Thief River Falls, MN 56701
Ph: (218) 681-4747 |
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