Keith E Eidman, DO - Medicare Nephrology in Minneapolis, MN

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Keith E Eidman, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Minneapolis, Minnesota. He graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Fairview Health Services, Intermed Consultants Dialysis Pllc, Intermed Consultants,ltd. and his current practice location is 701 Park Ave, S5, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 347-5871.

Keith E Eidman is licensed to practice in Minnesota (license number 42869) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174579437.

Contact Information

Keith E Eidman, DO
701 Park Ave, S5,
Minneapolis, MN 55415-1623
(612) 347-5871
(612) 347-2003

Map and Direction




Physician's Profile

Full NameKeith E Eidman
GenderMale
SpecialityNephrology
Experience25 Years
Location701 Park Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith E Eidman graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1174579437
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 10/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8628024411
  • Enrollment ID: I20050324000564

Medical Identifiers

Medical identifiers for Keith E Eidman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174579437NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 42869 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cass Lake Dialysis Of DavitaCass lake, MNDialysis facility
Home Dialysis Of Davita - Pd UnitMinneapolis, MNDialysis facility
Fmc - Park Ave Dialysis CenterMinneapolis, MNDialysis facility
Fairview Southdale HospitalEdina, MNHospital
Fairview Ridges HospitalBurnsville, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Health Services1951213057539
Intermed Consultants Dialysis Pllc701222510512
Intermed Consultants,ltd.802203337217

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. Keith E Eidman allows following entities to bill medicare on his behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameIntermed Consultants,ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962596221
PECOS PAC ID: 8022033372
Enrollment ID: O20051006000224
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameIntermed Consultants Dialysis Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376912857
PECOS PAC ID: 7012225105
Enrollment ID: O20151009002328

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. Keith E Eidman 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 AddressPractice Location Address
Keith E Eidman, DO
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: () -		Keith E Eidman, DO
701 Park Ave, S5,
Minneapolis, MN 55415-1623

Ph: (612) 347-5871

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.