Sean Thomas O'brien, MD is a medicare enrolled "Pediatrics" physician in Rushmore, Minnesota. His current practice location is
119 S Thompson Ave, Rushmore, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 408-4980.
Sean Thomas O'brien is licensed to practice in Minnesota (license number 59208) 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 1134411192.
Physician's Profile
Full Name | Sean Thomas O'brien |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 119 S Thompson Ave, Rushmore, 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: 1134411192
- Provider Enumeration Date: 05/10/2011
- Last Update Date: 07/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042437618
- Enrollment ID: I20150625001929
Medical Identifiers
Medical identifiers for Sean Thomas O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134411192 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 59208 (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. Sean Thomas O'brien allows following entities to bill medicare on his behalf.
Entity Name | University Of Minnesota Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532 |
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Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Sanford Health Of Northern Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Sean Thomas O'brien 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 |
Sean Thomas O'brien, MD 119 S Thompson Ave, Rushmore, MN 56168-9674 Ph: (651) 408-4980 | Sean Thomas O'brien, MD 119 S Thompson Ave, Rushmore, MN 56168-9674 Ph: (651) 408-4980 |
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