Dr Justin Bohnsack, OD is a medicare enrolled "Optometrist" provider in Saint Michael, Minnesota. His current practice location is
1 Central Ave W Ste 104, Saint Michael, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(375) 476-3497.
Dr Justin Bohnsack is licensed to practice in Minnesota (license number 3943) 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 1821830019.
Healthcare Provider's Profile
| Full Name | Dr Justin Bohnsack |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1 Central Ave W Ste 104, Saint Michael, 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: 1821830019
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426595463
- Enrollment ID: I20240807004155
Medical Identifiers
Medical identifiers for Dr Justin Bohnsack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821830019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3943 (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. Dr Justin Bohnsack allows following entities to bill medicare on his behalf.
| Provider Name | D Stanton Enterprises Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1063594109
PECOS PAC ID: 6608964861
Enrollment ID: O20071121000549 |
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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. Dr Justin Bohnsack 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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Dr Justin Bohnsack, OD
1 Central Ave W Ste 104,
Saint Michael, MN 55376-4590
Ph: () - | Dr Justin Bohnsack, OD
1 Central Ave W Ste 104,
Saint Michael, MN 55376-4590
Ph: (375) 476-3497 |
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