Dr Michael John Butcher, DO is a medicare enrolled "Urology" physician in Saint Louis Park, Minnesota. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Urology. He is a member of the group practice Park Nicollet Clinic and his current practice location is
3900 Park Nicollet Blvd, Saint Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 993-1000.
Dr Michael John Butcher is licensed to practice in Minnesota (license number 59342) 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 1467692616.
Physician's Profile
Full Name | Dr Michael John Butcher |
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Gender | Male |
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Speciality | Urology |
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Experience | 15 Years |
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Location | 3900 Park Nicollet Blvd, Saint Louis Park, Minnesota |
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Accepts Medicare Assignments | Yes. 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 Michael John Butcher graduated from medical school in 2009
NPI Data:
- NPI Number: 1467692616
- Provider Enumeration Date: 03/01/2009
- Last Update Date: 03/09/2016
Medicare PECOS Information:
- PECOS PAC ID: 7911159827
- Enrollment ID: I20150925000182
Medical Identifiers
Medical identifiers for Dr Michael John Butcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467692616 | NPI | - | NPPES |
036134467 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 59342 (Minnesota) | Primary |
208800000X | Urology | 036-134467 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Park Nicollet Clinic | 7911819438 | 1530 |
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 Michael John Butcher allows following entities to bill medicare on his behalf.
Entity Name | Park Nicollet Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
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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 Michael John Butcher 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 Michael John Butcher, DO 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: () - | Dr Michael John Butcher, DO 3900 Park Nicollet Blvd, Saint Louis Park, MN 55416-2503 Ph: (952) 993-1000 |
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