Lawrence Deshaw, MD - Medicare Emergency Medicine in Apple Valley, MN

Lawrence Deshaw, MD is a medicare enrolled "Emergency Medicine" physician in Apple Valley, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Park Nicollet Clinic and his current practice location is 15290 Pennock Ln, Apple Valley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 853-8800.

Lawrence Deshaw is licensed to practice in Minnesota (license number 45204) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326005976.

Contact Information

Lawrence Deshaw, MD
15290 Pennock Ln,
Apple Valley, MN 55124-7163
(952) 853-8800
(952) 431-6966



Physician's Profile

Full NameLawrence Deshaw
GenderMale
SpecialityEmergency Medicine
Experience25 Years
Location15290 Pennock Ln, Apple Valley, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lawrence Deshaw attended and graduated from University Of North Dakota School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1326005976
  • Provider Enumeration Date: 04/27/2006
  • Last Update Date: 03/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3476683293
  • Enrollment ID: I20100604000604

Medical Identifiers

Medical identifiers for Lawrence Deshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326005976NPI-NPPES
100790400MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 45204 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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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. Lawrence Deshaw allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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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. Lawrence Deshaw 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
Lawrence Deshaw, MD
8170 33rd Ave S # Ms 21110q,
Minneapolis, MN 55425-4516

Ph: () -
Lawrence Deshaw, MD
15290 Pennock Ln,
Apple Valley, MN 55124-7163

Ph: (952) 853-8800

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Emergency Medicine Doctors in Apple Valley, MN

Patricia M Cook, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
Kimberly S Glynn,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-853-8800    Fax: 952-431-6966
Keith A Allen, MBCHBBAO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 15746 Fremont Way, Apple Valley, MN 55124
Phone: 715-205-6789    
Dr. Marven G Ewen, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15290 Pennock Ln, Apple Valley, MN 55124
Phone: 952-431-8500    Fax: 952-431-8598

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