Jonathan-erle Christian Reid, is a medicare enrolled "Emergency Medicine - Sports Medicine" physician in Eden Prairie, Minnesota. His current practice location is
965 Prairie Center Dr Ste 200, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 995-8780.
Jonathan-erle Christian Reid is licensed to practice in Minnesota (license number 74098) 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 1811553241.
Physician's Profile
Full Name | Jonathan-erle Christian Reid |
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Gender | Male |
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Speciality | Emergency Medicine - Sports Medicine |
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Location | 965 Prairie Center Dr Ste 200, Eden Prairie, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1811553241
- Provider Enumeration Date: 05/10/2019
- Last Update Date: 08/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517394471
- Enrollment ID: I20220831003019
Medical Identifiers
Medical identifiers for Jonathan-erle Christian Reid such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811553241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036161672 (Illinois) | Secondary |
207PS0010X | Emergency Medicine - Sports Medicine | 74098 (Minnesota) | Primary |
207PS0010X | Emergency Medicine - Sports Medicine | 036.161672 (Illinois) | Secondary |
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. Jonathan-erle Christian Reid 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 |
Jonathan-erle Christian Reid, 3249 Oak Park Ave, Berwyn, IL 60402-3429 Ph: () - | Jonathan-erle Christian Reid, 965 Prairie Center Dr Ste 200, Eden Prairie, MN 55344-3671 Ph: (952) 995-8780 |
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