Dr Justin Shawn Cummins, MD - Medicare Orthopedic Surgery in Ashland, WI

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Dr Justin Shawn Cummins, MD is a medicare enrolled "Orthopaedic Surgery" physician in Ashland, Wisconsin. He went to University Of Washington School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Memorial Medical Center Inc and his current practice location is 1615 Maple Lane, Ashland, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 685-5500.

Dr Justin Shawn Cummins is licensed to practice in Wisconsin (license number 53249-20) 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 1003911603.

Contact Information

Dr Justin Shawn Cummins, MD
1615 Maple Lane,
Ashland, WI 54806
(715) 685-5500
Not Available

Map and Direction




Physician's Profile

Full NameDr Justin Shawn Cummins
GenderMale
SpecialityOrthopedic Surgery
Experience22 Years
Location1615 Maple Lane, Ashland, Wisconsin
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 Justin Shawn Cummins attended and graduated from University Of Washington School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1003911603
  • Provider Enumeration Date: 09/14/2006
  • Last Update Date: 08/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416003215
  • Enrollment ID: I20090921000201

Medical Identifiers

Medical identifiers for Dr Justin Shawn Cummins such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003911603NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 51884 (Minnesota)Secondary
207X00000XOrthopaedic Surgery 53249-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Medical CenterAshland, WIHospital
Hayward Area Memorial HospitalHayward, WIHospital
St Lukes HospitalDuluth, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Medical Center Inc802200044738

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 Justin Shawn Cummins allows following entities to bill medicare on his behalf.
Entity NameMemorial Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437179231
PECOS PAC ID: 8022000447
Enrollment ID: O20040402000938
Entity NameMedical Services, Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1912992827
PECOS PAC ID: 9436061363
Enrollment ID: O20061104000208

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 Justin Shawn Cummins 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 Justin Shawn Cummins, MD
1615 Maple Lane,
Ashland, WI 54806

Ph: (715) 685-5500		Dr Justin Shawn Cummins, MD
1615 Maple Lane,
Ashland, WI 54806

Ph: (715) 685-5500

Reviews and Comments


Orthopaedic Surgery Doctors in Ashland, WI

Dr. Joseph John Signorelli, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Lane, Ashland, WI 54806
Phone: 715-685-5500    
Dr. Dean W. Rau, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2101 Beaser Ave, Ste #1, Duluth Clinic Ashland - Orthopedics, Ashland, WI 54806
Phone: 715-682-8183    Fax: 715-682-8190
Dr. Scott H. Warren, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1615 Maple Ln, Suite 1, Ashland, WI 54806
Phone: 715-685-7500    Fax: 715-682-2481

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.