Dr Peter Paul Chang Lim, MD is a medicare enrolled "Pediatrics" physician in Mitchell, South Dakota. His current practice location is
1900 Grassland Dr, Mitchell, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 299-6051.
Dr Peter Paul Chang Lim is licensed to practice in South Dakota (license number 9713) 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 1356697916.
Physician's Profile
| Full Name | Dr Peter Paul Chang Lim |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1900 Grassland Dr, Mitchell, South Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356697916
- Provider Enumeration Date: 07/31/2012
- Last Update Date: 12/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 6709197700
- Enrollment ID: I20220822002985
Medical Identifiers
Medical identifiers for Dr Peter Paul Chang Lim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356697916 | NPI | - | NPPES |
| 10045502001 | Other | PA | GEISINGER HEALTH PLAN INSURANCE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | MT202071 (Pennsylvania) | Secondary |
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 58967 (Minnesota) | Secondary |
| 208000000X | Pediatrics | 9713 (South Dakota) | 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 Peter Paul Chang Lim allows following entities to bill medicare on his behalf.
| Entity Name | Avera Mckennan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003389206
PECOS PAC ID: 0345157103
Enrollment ID: O20031110000117 |
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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 Peter Paul Chang Lim 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 Peter Paul Chang Lim, MD
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (507) 284-2511 | Dr Peter Paul Chang Lim, MD
1900 Grassland Dr,
Mitchell, SD 57301-6205
Ph: (605) 299-6051 |
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