Mark Conrad Gregerson, MD is a medicare enrolled "Orthopaedic Surgery" physician in Moose Lake, Minnesota. His current practice location is
4572 County Road 61, Moose Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 485-4481.
Mark Conrad Gregerson is licensed to practice in Minnesota (license number 29943) 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 1508809930.
Physician's Profile
Full Name | Mark Conrad Gregerson |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 4572 County Road 61, Moose Lake, 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: 1508809930
- Provider Enumeration Date: 06/14/2006
- Last Update Date: 11/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 0941262612
- Enrollment ID: I20060810000508
Medical Identifiers
Medical identifiers for Mark Conrad Gregerson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508809930 | NPI | - | NPPES |
441280000 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 29943 (Minnesota) | 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. Mark Conrad Gregerson allows following entities to bill medicare on his behalf.
Entity Name | Moose Lake Community Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942398029 PECOS PAC ID: 5991616997 Enrollment ID: O20040519000577 |
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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. Mark Conrad Gregerson 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 |
Mark Conrad Gregerson, MD 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 | Mark Conrad Gregerson, MD 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 |
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