Kelly Nicole Hagedorn, MD in Rochester, MN

Kelly Nicole Hagedorn, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rochester, Minnesota. Her current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 284-2511.

Kelly Nicole Hagedorn is licensed to practice in Minnesota (license number 63379) 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 1568717957.

Contact Information

	Kelly Nicole Hagedorn, MD
	200 1st St Sw, Rochester, MN 55905-0001
	(507) 284-2511
	Not Available

Map and Direction

Physician's Profile

Full Name	Kelly Nicole Hagedorn
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	200 1st St Sw, Rochester, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568717957
Provider Enumeration Date: 07/21/2012
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 4284982901
Enrollment ID: I20180811000054

Medical Identifiers

Medical identifiers for Kelly Nicole Hagedorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568717957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	63379 (Minnesota)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	63379 (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. Kelly Nicole Hagedorn allows following entities to bill medicare on her behalf.

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Kelly Nicole Hagedorn 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
Kelly Nicole Hagedorn, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511	Kelly Nicole Hagedorn, MD 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511

Reviews and Comments

Radiology Doctors in Rochester, MN

Michael Bold, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Allison E Garda, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Tanner Henrie, Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Michael Leigh Wells, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Philippe Couillard, Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511
Scott Christopher Lester, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: Mayo Clinic, 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511 Fax: 507-284-0702
Motassem Billah Nashawaty, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 1st St Sw, Rochester, MN 55905 Phone: 507-284-2511

Kelly Nicole Hagedorn, MD - Medicare Radiology in Rochester, MN