John J Magnuson, MD is a medicare enrolled "Pediatrics" physician in Sparta, Missouri. His current practice location is
155 Village Dr, Sparta, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 634-4203.
John J Magnuson is licensed to practice in Missouri (license number 2002019251) 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 1770689747.
Physician's Profile
| Full Name | John J Magnuson |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
|---|
| Location | 155 Village Dr, Sparta, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1770689747
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931117603
- Enrollment ID: I20060323000046
Medical Identifiers
Medical identifiers for John J Magnuson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770689747 | NPI | - | NPPES |
| 205921703 | Medicaid | MO | |
| P00361139 | Other | | RR MEDICARE |
| 1770689747 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 2002019251 (Missouri) | 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. John J Magnuson allows following entities to bill medicare on his behalf.
| Entity Name | Sgoh Acquisition Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
|---|
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. John J Magnuson 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 |
|---|
John J Magnuson, MD
155 Village Dr,
Sparta, MO 65753-8104
Ph: (417) 634-4203 | John J Magnuson, MD
155 Village Dr,
Sparta, MO 65753-8104
Ph: (417) 634-4203 |
Reviews and Comments