Dr Tracy So Kayan, MD is a medicare enrolled "Plastic Surgery" physician in Minnetonka, Minnesota. Her current practice location is
15450 Highway 7 Ste 225, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 756-8008.
Dr Tracy So Kayan is licensed to practice in Minnesota (license number 54870) 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 1033314943.
Physician's Profile
Full Name | Dr Tracy So Kayan |
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Gender | Female |
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Speciality | Plastic Surgery |
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Location | 15450 Highway 7 Ste 225, Minnetonka, 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: 1033314943
- Provider Enumeration Date: 06/19/2007
- Last Update Date: 03/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244486850
- Enrollment ID: I20120815000237
Medical Identifiers
Medical identifiers for Dr Tracy So Kayan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033314943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 54870 (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 Tracy So Kayan allows following entities to bill medicare on her behalf.
Entity Name | Tk Plastic Surgery, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588929673 PECOS PAC ID: 8022265248 Enrollment ID: O20170217002000 |
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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 Tracy So Kayan 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 Tracy So Kayan, MD 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 Ph: (612) 756-8008 | Dr Tracy So Kayan, MD 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 Ph: (612) 756-8008 |
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