John Dwight Ferguson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Spring Lake Park, Minnesota. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1340 81st Ave Ne, Spring Lake Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 783-4528.
John Dwight Ferguson is licensed to practice in Minnesota (license number 10199) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1588744304.
Healthcare Provider's Profile
| Full Name | John Dwight Ferguson |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 32 Years |
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| Location | 1340 81st Ave Ne, Spring Lake Park, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Dwight Ferguson graduated from medical school in 1992
NPI Data:
- NPI Number: 1588744304
- Provider Enumeration Date: 10/16/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8022019579
- Enrollment ID: I20070125000335
Medical Identifiers
Medical identifiers for John Dwight Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588744304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 10199 (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. John Dwight Ferguson allows following entities to bill medicare on his behalf.
| Entity Name | John Ferguson Licsw Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467696872
PECOS PAC ID: 8123177433
Enrollment ID: O20090515000439 |
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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. John Dwight Ferguson 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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John Dwight Ferguson, LICSW
5648 Newton Ave S,
Minneapolis, MN 55419-1531
Ph: (612) 922-2993 | John Dwight Ferguson, LICSW
1340 81st Ave Ne,
Spring Lake Park, MN 55432-2116
Ph: (763) 783-4528 |
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