Douglas David Pflaum, MD - Medicare Family Practice in Lake City, MN

Douglas David Pflaum, MD is a medicare enrolled "Family Medicine" physician in Lake City, Minnesota. He went to Wayne State University School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Olmsted Medical Center and his current practice location is 507 W Doughty St, Lake City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 345-2350.

Douglas David Pflaum is licensed to practice in Minnesota (license number 27015) 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 1538145156.

Contact Information

Douglas David Pflaum, MD
507 W Doughty St,
Lake City, MN 55041-1500
(651) 345-2350
(651) 345-2238

Map and Direction




Physician's Profile

Full NameDouglas David Pflaum
GenderMale
SpecialityFamily Practice
Experience43 Years
Location507 W Doughty St, Lake City, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Douglas David Pflaum attended and graduated from Wayne State University School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1538145156
  • Provider Enumeration Date: 12/15/2005
  • Last Update Date: 08/18/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 0042104168
  • Enrollment ID: I20040210000911

Medical Identifiers

Medical identifiers for Douglas David Pflaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538145156NPI-NPPES
0113153OtherMEDICA
MH9101008902OtherPREFERRED ONE
118098OtherUCARE
49A85PFOtherBCBS
080123675OtherRAILROAD MEDICARE
336370800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27015 (Minnesota)Primary
207Q00000XFamily Medicine 26415 (Wisconsin)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olmsted Medical Center8527970060265

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. Douglas David Pflaum allows following entities to bill medicare on his behalf.
Entity NameOlmsted Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952356297
PECOS PAC ID: 8527970060
Enrollment ID: O20031119000240

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. Douglas David Pflaum 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
Douglas David Pflaum, MD
507 W Doughty St,
Lake City, MN 55041-1500

Ph: (651) 345-2350
Douglas David Pflaum, MD
507 W Doughty St,
Lake City, MN 55041-1500

Ph: (651) 345-2350

Reviews and Comments


Family Medicine Doctors in Lake City, MN

Dennis Charles Spano, M.D.
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Phone: 651-345-3321    Fax: 651-345-1151
Trent D Anderson, D.O.
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Jessica M Storlie, MD
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Robert A Taylor, DO
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Katie Hinderaker, MD
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Mootaz Subhi Said Younis, M.D.
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Medicare: Medicare Enrolled
Practice Location: 500 W Grant St, Lake City, MN 55041
Phone: 651-345-3321    

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.