Dr Elizabeth Kate Blixt, MD is a medicare enrolled "Dermatology" physician in St Cloud, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Centracare Clinic and her current practice location is
1900 Centracare Cir, Suite 2575, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 229-4924.
Dr Elizabeth Kate Blixt is licensed to practice in Minnesota (license number 56812) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487900577.
Physician's Profile
| Full Name | Dr Elizabeth Kate Blixt |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 1900 Centracare Cir, St Cloud, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Elizabeth Kate Blixt attended and graduated from University Of North Dakota School Of Medicine in 2012
NPI Data:
- NPI Number: 1487900577
- Provider Enumeration Date: 07/26/2012
- Last Update Date: 06/14/2016
Medicare PECOS Information:
- PECOS PAC ID: 2860633401
- Enrollment ID: I20130724000911
Medical Identifiers
Medical identifiers for Dr Elizabeth Kate Blixt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487900577 | NPI | - | NPPES |
| P01238261 | Other | MN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 56812 (Minnesota) | Primary |
| 207N00000X | Dermatology | 107024 (Minnesota) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 632 |
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. Dr Elizabeth Kate Blixt allows following entities to bill medicare on her behalf.
| Entity Name | Centracare Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293 |
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| Entity Name | Mayo Clinic Health System-lake City |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1538113022
PECOS PAC ID: 1951213487
Enrollment ID: O20070711000490 |
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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. Dr Elizabeth Kate Blixt 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 |
|---|
Dr Elizabeth Kate Blixt, MD
1900 Centracare Cir, Suite 2575,
St Cloud, MN 56303-5000
Ph: (320) 229-4924 | Dr Elizabeth Kate Blixt, MD
1900 Centracare Cir, Suite 2575,
St Cloud, MN 56303-5000
Ph: (320) 229-4924 |
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