Paul Otto Jonas Paulsen, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakeville, Minnesota. His current practice location is
20307 Jupiter Way, Lakeville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(720) 343-0724.
Paul Otto Jonas Paulsen is licensed to practice in Minnesota (license number 2489614) 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 1528844933.
Provider's Profile
Full Name | Paul Otto Jonas Paulsen |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 20307 Jupiter Way, Lakeville, 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: 1528844933
- Provider Enumeration Date: 09/01/2023
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 6103273511
- Enrollment ID: I20231107001350
Medical Identifiers
Medical identifiers for Paul Otto Jonas Paulsen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528844933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 2489614 (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. Paul Otto Jonas Paulsen allows following entities to bill medicare on his behalf.
Entity Name | St Cloud Outpatient Surgery Ltd |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
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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. Paul Otto Jonas Paulsen 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 Otto Jonas Paulsen, 20307 Jupiter Way, Lakeville, MN 55044-7829 Ph: (720) 343-0724 | Paul Otto Jonas Paulsen, 20307 Jupiter Way, Lakeville, MN 55044-7829 Ph: (720) 343-0724 |
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