Michael Severson, is a medicare enrolled "Pediatrics" physician in Brainerd, Minnesota. His current practice location is
2024 S 6th St, Brainerd, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 828-7100.
Michael Severson is licensed to practice in Minnesota (license number 22434) 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 1457339426.
Physician's Profile
| Full Name | Michael Severson |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 2024 S 6th St, Brainerd, 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: 1457339426
- Provider Enumeration Date: 01/09/2006
- Last Update Date: 07/25/2007
Medicare PECOS Information:
- PECOS PAC ID: 1153234885
- Enrollment ID: I20090427000331
Medical Identifiers
Medical identifiers for Michael Severson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457339426 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 22434 (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 Severson allows following entities to bill medicare on his behalf.
| Entity Name | Lake Region Healthcare Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093713372
PECOS PAC ID: 3971565334
Enrollment ID: O20060109000246 |
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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 Severson 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 |
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Michael Severson,
2024 S 6th St,
Brainerd, MN 56401-4529
Ph: (218) 828-7100 | Michael Severson,
2024 S 6th St,
Brainerd, MN 56401-4529
Ph: (218) 828-7100 |
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