Paul Lundstrom, MD - Medicare Dermatology in Baxter, MN

Paul Lundstrom, MD is a medicare enrolled "Dermatology" physician in Baxter, Minnesota. He went to University Of North Dakota School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Professionals, Pa and his current practice location is 13359 Isle Dr, Suite 3, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 454-7546.

Paul Lundstrom is licensed to practice in Minnesota (license number 45453) 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 1699759647.

Contact Information

Paul Lundstrom, MD
13359 Isle Dr, Suite 3,
Baxter, MN 56425-2222
(218) 454-7546
Not Available



Physician's Profile

Full NamePaul Lundstrom
GenderMale
SpecialityDermatology
Experience29 Years
Location13359 Isle Dr, Baxter, 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:
  • Paul Lundstrom attended and graduated from University Of North Dakota School Of Medicine in 1995
  NPI Data:
  • NPI Number: 1699759647
  • Provider Enumeration Date: 12/02/2005
  • Last Update Date: 02/24/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1951369057
  • Enrollment ID: I20060202000216

Medical Identifiers

Medical identifiers for Paul Lundstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699759647NPI-NPPES
741720900MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 45453 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cuyuna Regional Medical CenterCrosby, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Professionals, Pa45877539347

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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. Paul Lundstrom allows following entities to bill medicare on his behalf.
Entity NameDermatology Professionals, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720269426
PECOS PAC ID: 4587753934
Enrollment ID: O20071207000626

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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 Lundstrom 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
Paul Lundstrom, MD
13359 Isle Dr, Suite 3,
Baxter, MN 56425-2222

Ph: (218) 454-7546
Paul Lundstrom, MD
13359 Isle Dr, Suite 3,
Baxter, MN 56425-2222

Ph: (218) 454-7546

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Dermatology Doctors in Baxter, MN


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