Paul Lundstrom, MD in Baxter, MN - Medicare Dermatology

Paul Lundstrom, MD is a medicare enrolled "Dermatology" physician in Baxter, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Professionals, Pa and his current practice location is 13359 Isle Dr, Suite 3, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 454-7546.

Paul Lundstrom is licensed to practice in Minnesota (license number 45453) 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 1699759647.

Contact Information

	Paul Lundstrom, MD
	13359 Isle Dr, Suite 3, Baxter, MN 56425-2222
	(218) 454-7546
	Not Available

Map and Direction

Physician's Profile

Full Name	Paul Lundstrom
Gender	Male
Speciality	Dermatology
Experience	29 Years
Location	13359 Isle Dr, Baxter, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Lundstrom attended and graduated from University Of North Dakota School Of Medicine in 1995

NPI Data:

NPI Number: 1699759647
Provider Enumeration Date: 12/02/2005
Last Update Date: 06/12/2024

Medicare PECOS Information:

PECOS PAC ID: 1951369057
Enrollment ID: I20060202000216

Medical Identifiers

Medical identifiers for Paul Lundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699759647	NPI	-	NPPES
741720900	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	45453 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dermatology Professionals, Pa	4587753934	8

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. Paul Lundstrom allows following entities to bill medicare on his behalf.

Entity Name	Dermatology Professionals, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720269426 PECOS PAC ID: 4587753934 Enrollment ID: O20071207000626

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. Paul Lundstrom 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
Paul Lundstrom, MD 13359 Isle Dr, Suite 3, Baxter, MN 56425-2222 Ph: (218) 454-7546	Paul Lundstrom, MD 13359 Isle Dr, Suite 3, Baxter, MN 56425-2222 Ph: (218) 454-7546

Paul Lundstrom, MD - Medicare Dermatology in Baxter, MN