Dr Scott Edward Wavinak, DO - Medicare Family Practice in Prior Lake, MN

Dr Scott Edward Wavinak, DO is a medicare enrolled "Family Medicine" physician in Prior Lake, Minnesota. He went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fairview Clinics and his current practice location is 4151 Willowwood St Se, Prior Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 226-2600.

Dr Scott Edward Wavinak is licensed to practice in Minnesota (license number 60135) 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 1063831733.

Contact Information

Dr Scott Edward Wavinak, DO
4151 Willowwood St Se,
Prior Lake, MN 55372-4304
(952) 226-2600
Not Available

Map and Direction




Physician's Profile

Full NameDr Scott Edward Wavinak
GenderMale
SpecialityFamily Practice
Experience10 Years
Location4151 Willowwood St Se, Prior Lake, 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 Scott Edward Wavinak attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2014
  NPI Data:
  • NPI Number: 1063831733
  • Provider Enumeration Date: 04/10/2014
  • Last Update Date: 09/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9739488669
  • Enrollment ID: I20170718003544

Medical Identifiers

Medical identifiers for Dr Scott Edward Wavinak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063831733NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 60135 (Minnesota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Fairview Ridges HospitalBurnsville, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142658

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 Scott Edward Wavinak allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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 Scott Edward Wavinak 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 Scott Edward Wavinak, DO
4151 Willowwood St Se,
Prior Lake, MN 55372-4304

Ph: () -
Dr Scott Edward Wavinak, DO
4151 Willowwood St Se,
Prior Lake, MN 55372-4304

Ph: (952) 226-2600

Reviews and Comments


Family Medicine Doctors in Prior Lake, MN

Karen Marie Weiler, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Troy A Scott, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Jessica A Vanderscoff, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Doreen Lubi Isubikalu,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2330 Sioux Trail Nw, Prior Lake, MN 55372
Phone: 952-496-6150    
Daniel Trajano,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    
Dr. Samuel Asante-buabeng, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    Fax: 952-993-8820

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.