Randall A Bostrom, MD in Mora, MN - Medicare Family Medicine

Randall A Bostrom, MD is a medicare enrolled "Family Medicine" physician in Mora, Minnesota. His current practice location is 331 Highway 65 S, Mora, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 679-1313.

Randall A Bostrom is licensed to practice in Minnesota (license number 30066) 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 1396705083.

Contact Information

	Randall A Bostrom, MD
	331 Highway 65 S, Mora, MN 55051-1899
	(320) 679-1313
	(320) 225-3141

Map and Direction

Physician's Profile

Full Name	Randall A Bostrom
Gender	Male
Speciality	Family Medicine
Location	331 Highway 65 S, Mora, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396705083
Provider Enumeration Date: 03/25/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0547302762
Enrollment ID: I20100126000316

Medical Identifiers

Medical identifiers for Randall A Bostrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396705083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	30066 (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. Randall A Bostrom allows following entities to bill medicare on his behalf.

Entity Name	County Of Kanabec
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528031390 PECOS PAC ID: 0648187237 Enrollment ID: O20031125000660

Entity Name	Welia Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528031390 PECOS PAC ID: 6709295496 Enrollment ID: O20220125001227

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. Randall A Bostrom 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
Randall A Bostrom, MD Po Box 43, Mr 10809, Minneapolis, MN 55440-0043 Ph: (612) 262-4813	Randall A Bostrom, MD 331 Highway 65 S, Mora, MN 55051-1899 Ph: (320) 679-1313

Reviews and Comments

Family Medicine Doctors in Mora, MN

Dr. Ryan Richard Kroschel, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313
Matthew D Schultz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S. Hwy 65, Mora, MN 55051 Phone: 320-679-1212
Peter J Donner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313
Mr. Matthew Gordon Allen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 South Highway 65, Mora, MN 55051 Phone: 320-679-1313 Fax: 651-241-1116
Danielle Marie Bergman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313
Jack D Schwinghamer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 331 Highway 65 S, Mora, MN 55051 Phone: 320-679-1313 Fax: 320-225-3141

Randall A Bostrom, MD - Medicare Family Medicine in Mora, MN