Brayton Kiedrowski, DO in Shakopee, MN - Medicare Sports Medicine

Brayton Kiedrowski, DO is a medicare enrolled "Family Medicine - Sports Medicine" physician in Shakopee, Minnesota. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 2017 and has 7 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Reid Physician Associates, Inc. and his current practice location is 1700 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-8742.

Brayton Kiedrowski is licensed to practice in Minnesota (license number 77987) 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 1770019796.

Contact Information

	Brayton Kiedrowski, DO
	1700 Saint Francis Ave, Shakopee, MN 55379
	(952) 831-8742
	Not Available

Map and Direction

Physician's Profile

Full Name	Brayton Kiedrowski
Gender	Male
Speciality	Sports Medicine
Experience	7 Years
Location	1700 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brayton Kiedrowski attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 2017

NPI Data:

NPI Number: 1770019796
Provider Enumeration Date: 05/11/2017
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 2860763513
Enrollment ID: I20210902001035

Medical Identifiers

Medical identifiers for Brayton Kiedrowski such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770019796	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	88752 (Montana)	Secondary
207QS0010X	Family Medicine - Sports Medicine	02006537A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QS0010X	Family Medicine - Sports Medicine	77987 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Reid Hospital & Health Care Services	Richmond, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Reid Physician Associates, Inc.	6406910769	335

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. Brayton Kiedrowski allows following entities to bill medicare on his behalf.

Entity Name	Reid Physician Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573

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. Brayton Kiedrowski 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
Brayton Kiedrowski, DO 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Brayton Kiedrowski, DO 1700 Saint Francis Ave, Shakopee, MN 55379 Ph: (952) 831-8742

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
Anthony Kohlenberg, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4360 12th Ave E, Shakopee, MN 55379 Phone: 651-968-5300 Fax: 651-646-0205
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

Brayton Kiedrowski, DO - Medicare Sports Medicine in Shakopee, MN