Judy Rognli, is a medicare enrolled "Nurse Practitioner" physician in West Saint Paul, Minnesota. Her current practice location is
963 Robert St S, West Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 726-9500.
Judy Rognli is licensed to practice in Minnesota (license number 092786-6) 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 1821058462.
Physician's Profile
| Full Name | Judy Rognli |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 963 Robert St S, West Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821058462
- Provider Enumeration Date: 03/27/2006
- Last Update Date: 06/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517988751
- Enrollment ID: I20051215000084
Medical Identifiers
Medical identifiers for Judy Rognli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821058462 | NPI | - | NPPES |
| NA9021016277 | Other | MN | PREFERRED ONE |
| 03195400 | Medicaid | MN | |
| 12-03421 | Other | MN | MEDICA |
| 686G4RO | Other | MN | BCBS |
| 123678 | Other | MN | UCARE |
| HP25663 | Other | MN | HEALTH PARTNERS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 534 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 092786-6 (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. Judy Rognli allows following entities to bill medicare on her behalf.
| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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. Judy Rognli 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 |
|---|
Judy Rognli,
963 Robert St S,
West Saint Paul, MN 55118-1446
Ph: (651) 726-9500 | Judy Rognli,
963 Robert St S,
West Saint Paul, MN 55118-1446
Ph: (651) 726-9500 |
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