Jonathan Lee Minor, MD - Medicare General Practice in Rolla, MO

Jonathan Lee Minor, MD is a medicare enrolled "General Practice" physician in Rolla, Missouri. His current practice location is 910 W 10th St, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 342-4284.

Jonathan Lee Minor is licensed to practice in Missouri (license number 2020036607) 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 1609195452.

Contact Information

Jonathan Lee Minor, MD
910 W 10th St,
Rolla, MO 65409-6519
(573) 342-4284
(573) 341-6967



Physician's Profile

Full NameJonathan Lee Minor
GenderMale
SpecialityGeneral Practice
Location910 W 10th St, Rolla, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609195452
  • Provider Enumeration Date: 05/19/2010
  • Last Update Date: 11/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9133344807
  • Enrollment ID: I20171127000785

Medical Identifiers

Medical identifiers for Jonathan Lee Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609195452NPI-NPPES
CB238713OtherCAMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080S0010XPediatrics - Sports Medicine A137057 (California)Secondary
208D00000XGeneral Practice 2020036607 (Missouri)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. Jonathan Lee Minor allows following entities to bill medicare on his behalf.
Entity NameTmc Medical Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750832283
PECOS PAC ID: 9638457013
Enrollment ID: O20161107000996

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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. Jonathan Lee Minor 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 AddressPractice Location Address
Jonathan Lee Minor, MD
910 W 10th St,
Rolla, MO 65409-6519

Ph: (573) 342-4284
Jonathan Lee Minor, MD
910 W 10th St,
Rolla, MO 65409-6519

Ph: (573) 342-4284

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General Practice Doctors in Rolla, MO

James Jeffrey Bass, M.D.
General Practice
Medicare: Accepting Medicare Assignments
Practice Location: 1201 Hauck Dr, Rolla, MO 65401
Phone: 573-364-8818    Fax: 573-368-4422

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