Dr Neeti Kambale, DO is a medicare enrolled "Pediatrics" physician in Hugo, Minnesota. Her current practice location is
14701 Victor Hugo Blvd N, Hugo, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 426-1141.
Dr Neeti Kambale is licensed to practice in Minnesota (license number 64113) 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 1215317193.
Physician's Profile
Full Name | Dr Neeti Kambale |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 14701 Victor Hugo Blvd N, Hugo, 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: 1215317193
- Provider Enumeration Date: 06/04/2015
- Last Update Date: 09/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 4183926504
- Enrollment ID: I20180920001608
Medical Identifiers
Medical identifiers for Dr Neeti Kambale such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215317193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 64113 (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. Dr Neeti Kambale allows following entities to bill medicare on her behalf.
Entity Name | Children's Clinic Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538 |
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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 Neeti Kambale 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 Neeti Kambale, DO 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 Ph: (651) 426-1141 | Dr Neeti Kambale, DO 14701 Victor Hugo Blvd N, Hugo, MN 55038 Ph: (651) 426-1141 |
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