Alyssa Warden, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Robbinsdale, Minnesota. Her current practice location is
3300 Oakdale Ave N, Robbinsdale, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 520-5200.
Alyssa Warden is licensed to practice in Minnesota (license number 74041) 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 1003475005.
Physician's Profile
Full Name | Alyssa Warden |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003475005
- Provider Enumeration Date: 06/12/2019
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941539811
- Enrollment ID: I20230706001305
Medical Identifiers
Medical identifiers for Alyssa Warden such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003475005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 76475-21 (Wisconsin) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 74041 (Minnesota) | Primary |
208100000X | Physical Medicine & Rehabilitation | 8221851 (Wisconsin) | Secondary |
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. Alyssa Warden allows following entities to bill medicare on her behalf.
Entity Name | North Memorial Health Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
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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. Alyssa Warden 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 |
Alyssa Warden, DO 3300 Oakdale Ave N, Robbinsdale, MN 55422 Ph: (763) 520-5200 | Alyssa Warden, DO 3300 Oakdale Ave N, Robbinsdale, MN 55422 Ph: (763) 520-5200 |
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