Anthony Kohlenberg, MD in Shakopee, MN - Medicare Family Medicine

Anthony Kohlenberg, MD is a medicare enrolled "Family Medicine" physician in Shakopee, Minnesota. His current practice location is 4360 12th Ave E, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 968-5300.

Anthony Kohlenberg is licensed to practice in Minnesota (license number 69261) 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 1033404348.

Contact Information

	Anthony Kohlenberg, MD
	4360 12th Ave E, Shakopee, MN 55379-1955
	(651) 968-5300
	(651) 646-0205

Map and Direction

Physician's Profile

Full Name	Anthony Kohlenberg
Gender	Male
Speciality	Family Medicine
Location	4360 12th Ave E, Shakopee, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033404348
Provider Enumeration Date: 06/14/2011
Last Update Date: 09/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7911123302
Enrollment ID: I20171012001895

Medical Identifiers

Medical identifiers for Anthony Kohlenberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033404348	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	69261 (Minnesota)	Secondary
207Q00000X	Family Medicine	69261 (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. Anthony Kohlenberg allows following entities to bill medicare on his behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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. Anthony Kohlenberg 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
Anthony Kohlenberg, MD 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: () -	Anthony Kohlenberg, MD 4360 12th Ave E, Shakopee, MN 55379-1955 Ph: (651) 968-5300

Reviews and Comments

Family Medicine Doctors in Shakopee, MN

Kristin A Witte, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750
Mark Westholder, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800
Dr. Trevor L Busch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750
Nancy M O Connor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599
Jawaher Taher, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 161 Pottok Ln, Shakopee, MN 55379 Phone: 952-393-2229
Robert John Nicholson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Suite 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599

Anthony Kohlenberg, MD - Medicare Family Medicine in Shakopee, MN