Sean Sullivan Dwyer, in Bloomington, MN - Medicare Physician Assistant

Sean Sullivan Dwyer, is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. His current practice location is 3601 Minnesota Dr Ste 200, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 879-1000.

Sean Sullivan Dwyer is licensed to practice in Minnesota (license number 12601) 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 1073022372.

Contact Information

	Sean Sullivan Dwyer,
	3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5281
	(612) 879-1000
	(612) 879-9116

Map and Direction

Provider's Profile

Full Name	Sean Sullivan Dwyer
Gender	Male
Speciality	Physician Assistant
Location	3601 Minnesota Dr Ste 200, Bloomington, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073022372
Provider Enumeration Date: 09/29/2017
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1557620697
Enrollment ID: I20180117001156

Medical Identifiers

Medical identifiers for Sean Sullivan Dwyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073022372	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	12601 (Minnesota)	Primary

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. Sean Sullivan 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
Sean Sullivan Dwyer, 3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5281 Ph: (161) 287-9100	Sean Sullivan Dwyer, 3601 Minnesota Dr Ste 200, Bloomington, MN 55435-5281 Ph: (612) 879-1000

Reviews and Comments

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Matthew Brian Hamilton Williams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554
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Sean Sullivan Dwyer, - Medicare Physician Assistant in Bloomington, MN