Ellen De Vries, in Burnsville, MN

Ellen De Vries, is a medicare enrolled "Pediatrics" physician in Burnsville, Minnesota. Her current practice location is 14000 Fairview Dr, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8700.

Ellen De Vries is licensed to practice in Minnesota (license number 31602) 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 1902880735.

Contact Information

	Ellen De Vries,
	14000 Fairview Dr, Burnsville, MN 55337-5713
	(952) 993-8700
	Not Available

Map and Direction

Physician's Profile

Full Name	Ellen De Vries
Gender	Female
Speciality	Pediatrics
Location	14000 Fairview Dr, Burnsville, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902880735
Provider Enumeration Date: 12/05/2005
Last Update Date: 10/21/2011

Medicare PECOS Information:

PECOS PAC ID: 7810022852
Enrollment ID: I20100316001034

Medical Identifiers

Medical identifiers for Ellen De Vries such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902880735	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	31602 (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. Ellen De Vries allows following entities to bill medicare on her 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. Ellen De Vries 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
Ellen De Vries, 6465 Wayzata Blvd, Suite 315, St Louis Park, MN 55426-1728 Ph: () -	Ellen De Vries, 14000 Fairview Dr, Burnsville, MN 55337-5713 Ph: (952) 993-8700

Reviews and Comments

Pediatrics Doctors in Burnsville, MN

Dr. Allison Schneider Freese, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 303 E Nicollet Blvd, Burnsville, MN 55337 Phone: 319-721-9499
Dr. Sheila J Jenkins, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700
Kristine A Foslien, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 303 Nicollet Blvd, Burnsville, MN 55337 Phone: 952-892-8770
Dr. Lisa Wilkinson Oie, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 501 E Nicollet Blvd, Ste 200, Burnsville, MN 55337 Phone: 952-831-1944 Fax: 952-278-6947
Brielle Joy Swanstrom, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700 Fax: 952-993-8516
Dr. Timothy John Anderson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 501 E Nicollet Blvd, Suite 200, Burnsville, MN 55337 Phone: 952-898-5900 Fax: 952-898-5914
Mrs. Gillian Hackedorn Luscri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8682

Ellen De Vries, - Medicare Pediatrics in Burnsville, MN