Dr Mark Stanley Mellstrom, MD in Red Wing, MN

Dr Mark Stanley Mellstrom, MD is a medicare enrolled "Family Medicine" physician in Red Wing, Minnesota. His current practice location is 701 Hewitt Blvd, Red Wing, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 267-5000.

Dr Mark Stanley Mellstrom is licensed to practice in Minnesota (license number 27926) 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 1346302106.

Contact Information

	Dr Mark Stanley Mellstrom, MD
	701 Hewitt Blvd, Red Wing, MN 55066-2848
	(651) 267-5000
	(651) 267-5964

Map and Direction

Physician's Profile

Full Name	Dr Mark Stanley Mellstrom
Gender	Male
Speciality	Family Medicine
Location	701 Hewitt Blvd, Red Wing, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346302106
Provider Enumeration Date: 12/15/2006
Last Update Date: 06/27/2022

Medicare PECOS Information:

PECOS PAC ID: 3577467844
Enrollment ID: I20101105001262

Medical Identifiers

Medical identifiers for Dr Mark Stanley Mellstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346302106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	27926 (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 Mark Stanley Mellstrom allows following entities to bill medicare on his behalf.

Entity Name	Mayo Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922074434 PECOS PAC ID: 6507778255 Enrollment ID: O20031103000285

Entity Name	Mayo Clinic Health System-lake City
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095

Entity Name	Mayo Clinic Health System-southeast Minnesota Region
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408

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 Mark Stanley Mellstrom 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 Mark Stanley Mellstrom, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (651) 267-5000	Dr Mark Stanley Mellstrom, MD 701 Hewitt Blvd, Red Wing, MN 55066-2848 Ph: (651) 267-5000

Reviews and Comments

Family Medicine Doctors in Red Wing, MN

Carrie Wojick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Eric C Mollgaard, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Dr. Said Haider Al Tawil, M.D., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
John L Goeppinger, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Fairview Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Thomas Joseph Witt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000 Fax: 651-345-1151
Dr. Bradley L Houston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000
Anne Enanga Liwonjo, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Hewitt Blvd, Red Wing, MN 55066 Phone: 651-267-5000

Dr Mark Stanley Mellstrom, MD - Medicare Family Medicine in Red Wing, MN