Donaldson Wright Kingsley Iii, MD in Shakopee, MN

Donaldson Wright Kingsley Iii, MD is a medicare enrolled "Pediatrics" physician in Shakopee, Minnesota. His current practice location is 1415 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-7750.

Donaldson Wright Kingsley Iii is licensed to practice in Minnesota (license number 44346) 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 1770758211.

Contact Information

	Donaldson Wright Kingsley Iii, MD
	1415 Saint Francis Ave, Shakopee, MN 55379-3374
	(952) 993-7750
	Not Available

Map and Direction

Physician's Profile

Full Name	Donaldson Wright Kingsley Iii
Gender	Male
Speciality	Pediatrics
Location	1415 Saint Francis Ave, 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: 1770758211
Provider Enumeration Date: 04/25/2008
Last Update Date: 03/02/2012

Medicare PECOS Information:

PECOS PAC ID: 9335210970
Enrollment ID: I20080625000360

Medical Identifiers

Medical identifiers for Donaldson Wright Kingsley Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770758211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	44346 (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. Donaldson Wright Kingsley Iii allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Donaldson Wright Kingsley Iii 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
Donaldson Wright Kingsley Iii, MD 3800 Park Nicollet Blvd, Credentialing, St Louis Park, MN 55416-2527 Ph: () -	Donaldson Wright Kingsley Iii, MD 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750

Reviews and Comments

Pediatrics Doctors in Shakopee, MN

Crystal J Knutson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 Fax: 952-993-7835
Stephy Ann Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750 Fax: 952-993-7835
Kayln Rachele Stensrud, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-2000
Amelia Sneve, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7750
Lisa J Gears, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800
Juliana Y O'laughlin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1515 Saint Francis Ave, Suite 230, Shakopee, MN 55379 Phone: 952-445-6700
Dr. Durresamin Akhtar, MBBS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-7800

Donaldson Wright Kingsley Iii, MD - Medicare Pediatrics in Shakopee, MN