Michael Cowan, MD is a medicare enrolled "Family Medicine" physician in Welch, Minnesota. His current practice location is
1158 Island Blvd, Welch, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 385-4148.
Michael Cowan is licensed to practice in Minnesota (license number 41281) 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 1558440164.
Physician's Profile
| Full Name | Michael Cowan |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 1158 Island Blvd, Welch, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558440164
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 11/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375521586
- Enrollment ID: I20040713000478
Medical Identifiers
Medical identifiers for Michael Cowan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558440164 | NPI | - | NPPES |
| 1031019 | Other | MN | PREFERRED ONE |
| 203T5CO | Other | MN | BLE PLUS |
| 5720176 00 | Other | MN | MN DEPT HUMAN SERVICES |
| 71B72NO | Other | MN | BLUE CROSS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 41281 (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. Michael Cowan allows following entities to bill medicare on his behalf.
| Entity Name | Grand Itasca Clinic And Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209 |
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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. Michael Cowan 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 |
|---|
Michael Cowan, MD
1158 Island Blvd,
Welch, MN 55089-9540
Ph: (651) 385-4148 | Michael Cowan, MD
1158 Island Blvd,
Welch, MN 55089-9540
Ph: (651) 385-4148 |
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