Dr Janice M Rourk, MD is a medicare enrolled "Pediatrics" physician in Grand Rapids, Minnesota. Her current practice location is
1601 Golf Course Rd, Grand Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 326-5000.
Dr Janice M Rourk is licensed to practice in Minnesota (license number 45607) 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 1609853027.
Physician's Profile
Full Name | Dr Janice M Rourk |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1601 Golf Course Rd, Grand Rapids, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609853027
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971687476
- Enrollment ID: I20080221000611
Medical Identifiers
Medical identifiers for Dr Janice M Rourk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609853027 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 45607 (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 Janice M Rourk allows following entities to bill medicare on her behalf.
Entity Name | Grand Itasca Clinic And Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
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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. Dr Janice M Rourk 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 Janice M Rourk, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 | Dr Janice M Rourk, MD 1601 Golf Course Rd, Grand Rapids, MN 55744-8648 Ph: (218) 326-5000 |
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