Kayla Middendorf, DC in Andover, MN - Medicare Chiropractor Provider

Kayla Middendorf, DC is a medicare enrolled "Chiropractor" provider in Andover, Minnesota. Her current practice location is 1777 Bunker Lake Blvd Nw # 200, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 413-6934.

Kayla Middendorf is licensed to practice in Minnesota (license number 6652) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407497548.

Contact Information

	Kayla Middendorf, DC
	1777 Bunker Lake Blvd Nw # 200, Andover, MN 55304-4008
	(763) 413-6934
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kayla Middendorf
Gender	Female
Speciality	Chiropractor
Location	1777 Bunker Lake Blvd Nw # 200, Andover, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407497548
Provider Enumeration Date: 09/30/2019
Last Update Date: 09/30/2019

Medicare PECOS Information:

PECOS PAC ID: 2769896232
Enrollment ID: I20210122002770

Medical Identifiers

Medical identifiers for Kayla Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407497548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	6652 (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. Kayla Middendorf allows following entities to bill medicare on her behalf.

Provider Name	Lake Life Chiropractic Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952826778 PECOS PAC ID: 8224302211 Enrollment ID: O20170914000400

Provider Name	Plymouth Chirocenter Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063013340 PECOS PAC ID: 9436562824 Enrollment ID: O20201231001813

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. Kayla Middendorf 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
Kayla Middendorf, DC 4251 W 125th St, Savage, MN 55378-1413 Ph: (320) 429-0044	Kayla Middendorf, DC 1777 Bunker Lake Blvd Nw # 200, Andover, MN 55304-4008 Ph: (763) 413-6934

Reviews and Comments

Chiropractor in Andover, MN

Andover Family Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 1573 154th Ave Nw, Andover, MN 55304 Phone: 763-413-0032 Fax: 763-432-3688
Lucy Ann Gustafson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1777 Bunker Lake Blvd Nw Ste 200, Andover, MN 55304 Phone: 763-413-6934 Fax: 763-450-3101
Dr. Karrie Lynn Lehn, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2705 Bunker Lake Blvd Nw Ste 100, Andover, MN 55304 Phone: 763-323-0061 Fax: 763-754-9756
Dr. Wayne Edward Pratt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13750 Crosstown Dr Nw, Suite L102, Andover, MN 55304 Phone: 763-767-1800 Fax: 763-767-1818
Dr. Kerri Ann Norring, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1883 Station Pkwy Nw, Andover, MN 55304 Phone: 763-323-0061 Fax: 763-754-9756
Dr. Tracy Lynn Andrews, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3368 Bunker Lake Blvd Nw, Andover, MN 55304 Phone: 763-427-0820 Fax: 763-421-1044
Health And Healing Family Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 1883 Station Pkwy Nw, Andover, MN 55304 Phone: 763-323-0061 Fax: 763-754-9756

Kayla Middendorf, DC - Medicare Chiropractor in Andover, MN