Dr Bonnie Gail Landrum, MD in Maple Grove, MN

Dr Bonnie Gail Landrum, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Maple Grove, Minnesota. Her current practice location is 9325 Upland Lane N, Suite 360, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 813-6475.

Dr Bonnie Gail Landrum is licensed to practice in Minnesota (license number 27901) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1417961319.

Contact Information

	Dr Bonnie Gail Landrum, MD
	9325 Upland Lane N, Suite 360, Maple Grove, MN 55369
	(612) 813-6475
	(612) 813-6983

Map and Direction

Physician's Profile

Full Name	Dr Bonnie Gail Landrum
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	9325 Upland Lane N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417961319
Provider Enumeration Date: 07/28/2006
Last Update Date: 01/17/2019

Medicare PECOS Information:

PECOS PAC ID: 3971568114
Enrollment ID: I20160224000870

Medical Identifiers

Medical identifiers for Dr Bonnie Gail Landrum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417961319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	27901 (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. Dr Bonnie Gail Landrum allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Dr Bonnie Gail Landrum 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
Dr Bonnie Gail Landrum, MD 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Ph: (612) 813-6475	Dr Bonnie Gail Landrum, MD 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Ph: (612) 813-6475

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Dr Bonnie Gail Landrum, MD - Medicare Pediatrics in Maple Grove, MN