Dr Paul C Nystrom, MD is a medicare enrolled "Emergency Medicine" physician in Wabasha, Minnesota. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Saint Elizabeths Hospital Of Wabasha Inc and his current practice location is
1200 Grant Blvd W, Wabasha, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 565-4531.
Dr Paul C Nystrom is licensed to practice in Minnesota (license number 53822) 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 1164445052.
Physician's Profile
Full Name | Dr Paul C Nystrom |
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Gender | Male |
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Speciality | Emergency Medicine |
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Experience | 19 Years |
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Location | 1200 Grant Blvd W, Wabasha, 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 Paul C Nystrom attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 2005
NPI Data:
- NPI Number: 1164445052
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 08/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587742416
- Enrollment ID: I20120809000854
Medical Identifiers
Medical identifiers for Dr Paul C Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164445052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 53822 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Saint Elizabeths Hospital Of Wabasha Inc | 5092619387 | 78 |
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 Paul C Nystrom allows following entities to bill medicare on his 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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Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659355600 PECOS PAC ID: 5092619387 Enrollment ID: O20031119000811 |
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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 Paul C Nystrom 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 Paul C Nystrom, MD 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 Ph: (952) 767-4574 | Dr Paul C Nystrom, MD 1200 Grant Blvd W, Wabasha, MN 55981-1042 Ph: (651) 565-4531 |
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