Donald Wayne Kjome, MD - Medicare Family Medicine in Forest Lake, MN

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Donald Wayne Kjome, MD is a medicare enrolled "Family Medicine" physician in Forest Lake, Minnesota. His current practice location is 967 Lake St S, Forest Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 464-1113.

Donald Wayne Kjome is licensed to practice in Minnesota (license number 22028) 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 1588749642.

Contact Information

Donald Wayne Kjome, MD
967 Lake St S,
Forest Lake, MN 55025-2616
(651) 464-1113
(651) 464-0853

Map and Direction




Physician's Profile

Full NameDonald Wayne Kjome
GenderMale
SpecialityFamily Medicine
Location967 Lake St S, Forest Lake, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588749642
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7618964750
  • Enrollment ID: I20040429000544

Medical Identifiers

Medical identifiers for Donald Wayne Kjome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588749642NPI-NPPES
195588800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 22028 (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. Donald Wayne Kjome allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NameLakes Area Health Center Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467403030
PECOS PAC ID: 9234179664
Enrollment ID: O20050909000741

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. Donald Wayne Kjome 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 AddressPractice Location Address
Donald Wayne Kjome, MD
967 Lake St S,
Forest Lake, MN 55025-2616

Ph: (651) 464-1113		Donald Wayne Kjome, MD
967 Lake St S,
Forest Lake, MN 55025-2616

Ph: (651) 464-1113

Reviews and Comments


Family Medicine Doctors in Forest Lake, MN

Dr. Oluwakemi Tinuke Olowoyo, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    Fax: 651-241-1515
Dr. Vivian Lilly Wireko-brobby, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    Fax: 651-241-1515
Melissa Beth Cummings, APN-FNP-C
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 608 Lake St S Ste D, Forest Lake, MN 55025
Phone: 651-464-6444    
Gary J. Mayer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    
Linda Wilkes Asadourian, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    Fax: 651-982-5515
Steven Duane Semmler, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    
Dr. Brett J Salek, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1540 Lake St S, Forest Lake, MN 55025
Phone: 651-464-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.