Dr Jayson Robert Pereira, MD - Medicare Emergency Medicine in Woodbury, MN

Dr Jayson Robert Pereira, MD is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Woodbury, Minnesota. He went to University Of Pittsburgh School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Park Nicollet Clinic and his current practice location is 155 Radio Dr, Woodbury, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

Dr Jayson Robert Pereira is licensed to practice in Minnesota (license number 52029) 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 1104036912.

Contact Information

Dr Jayson Robert Pereira, MD
155 Radio Dr,
Woodbury, MN 55125-2619
(952) 831-8742
Not Available

Map and Direction




Physician's Profile

Full NameDr Jayson Robert Pereira
GenderMale
SpecialityEmergency Medicine
Experience20 Years
Location155 Radio Dr, Woodbury, 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:
  • Dr Jayson Robert Pereira attended and graduated from University Of Pittsburgh School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1104036912
  • Provider Enumeration Date: 05/23/2007
  • Last Update Date: 06/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2466552351
  • Enrollment ID: I20091022000032

Medical Identifiers

Medical identifiers for Dr Jayson Robert Pereira such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104036912NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 52029 (Minnesota)Secondary
207P00000XEmergency Medicine 232248 (Massachusetts)Secondary
207PS0010XEmergency Medicine - Sports Medicine 52029 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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 Jayson Robert Pereira allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameTria Orthopaedic Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518273085
PECOS PAC ID: 3173570561
Enrollment ID: O20110310000999

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 Jayson Robert Pereira 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
Dr Jayson Robert Pereira, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Dr Jayson Robert Pereira, MD
155 Radio Dr,
Woodbury, MN 55125-2619

Ph: (952) 831-8742

Reviews and Comments


Emergency Medicine Doctors in Woodbury, MN

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Phone: 651-232-0348    Fax: 635-123-2062

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.