Paul Otto Jonas Paulsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakeville, Minnesota. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Permanente Medical Group Inc and his current practice location is
20307 Jupiter Way, Lakeville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(720) 343-0724.
Paul Otto Jonas Paulsen is licensed to practice in Minnesota (license number 2489614) 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 1528844933.
Provider's Profile
| Full Name | Paul Otto Jonas Paulsen |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 3 Years |
|---|
| Location | 20307 Jupiter Way, Lakeville, Minnesota |
|---|
| 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:
- Paul Otto Jonas Paulsen graduated from nursing school in 2023
NPI Data:
- NPI Number: 1528844933
- Provider Enumeration Date: 09/01/2023
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103273511
- Enrollment ID: I20240429000984
Medical Identifiers
Medical identifiers for Paul Otto Jonas Paulsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528844933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2489614 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
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. Paul Otto Jonas Paulsen allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
|---|
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. Paul Otto Jonas Paulsen 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 |
|---|
Paul Otto Jonas Paulsen,
20307 Jupiter Way,
Lakeville, MN 55044-7829
Ph: (720) 343-0724 | Paul Otto Jonas Paulsen,
20307 Jupiter Way,
Lakeville, MN 55044-7829
Ph: (720) 343-0724 |
Reviews and Comments