Jonathan Lee Minor, MD is a medicare enrolled "General Practice" physician in Rolla, Missouri. His current practice location is
910 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at
(573) 342-4284.
Jonathan Lee Minor is licensed to practice in Missouri (license number 2020036607) 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 1609195452.
Physician's Profile
Full Name | Jonathan Lee Minor |
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Gender | Male |
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Speciality | General Practice |
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Location | 910 W 10th St, Rolla, Missouri |
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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: 1609195452
- Provider Enumeration Date: 05/19/2010
- Last Update Date: 11/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 9133344807
- Enrollment ID: I20171127000785
Medical Identifiers
Medical identifiers for Jonathan Lee Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609195452 | NPI | - | NPPES |
CB238713 | Other | CA | MEDICARE PTAN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080S0010X | Pediatrics - Sports Medicine | A137057 (California) | Secondary |
208D00000X | General Practice | 2020036607 (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. Jonathan Lee Minor allows following entities to bill medicare on his behalf.
Entity Name | Tmc Medical Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750832283 PECOS PAC ID: 9638457013 Enrollment ID: O20161107000996 |
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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. Jonathan Lee Minor 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 Lee Minor, MD 910 W 10th St, Rolla, MO 65409-6519 Ph: (573) 342-4284 | Jonathan Lee Minor, MD 910 W 10th St, Rolla, MO 65409-6519 Ph: (573) 342-4284 |
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