Kenji Sudoh, in Duluth, MN - Medicare Sports Medicine

Kenji Sudoh, is a medicare enrolled "Family Medicine - Sports Medicine" physician in Duluth, Minnesota. He went to University Of Minnesota Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Polinsky Medical Rehabilitation Center, The Duluth Clinic Ltd and his current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-8364.

Kenji Sudoh is licensed to practice in Minnesota (license number 45872) 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 1619996832.

Contact Information

	Kenji Sudoh,
	400 E 3rd St, Duluth, MN 55805-1951
	(218) 786-8364
	Not Available

Map and Direction

Physician's Profile

Full Name	Kenji Sudoh
Gender	Male
Speciality	Sports Medicine
Experience	22 Years
Location	400 E 3rd St, Duluth, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kenji Sudoh attended and graduated from University Of Minnesota Medical School in 2002

NPI Data:

NPI Number: 1619996832
Provider Enumeration Date: 07/19/2006
Last Update Date: 05/09/2011

Medicare PECOS Information:

PECOS PAC ID: 5294632329
Enrollment ID: I20031217000429

Medical Identifiers

Medical identifiers for Kenji Sudoh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619996832	NPI	-	NPPES
532492100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	45872 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health Duluth	Duluth, MN	Hospital
Deer River Healthcare Center	Deer river, MN	Hospital
Essentia Health St Mary's Medical Center	Duluth, MN	Hospital
St Marys Hospital Superior	Superior, WI	Hospital
Grand Itasca Clinic And Hospital	Grand rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Polinsky Medical Rehabilitation Center	0941377360	205
The Duluth Clinic Ltd	2567374283	949

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. Kenji Sudoh allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	Deer River Healthcare Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428

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. Kenji Sudoh 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
Kenji Sudoh, 400 E 3rd St, Duluth, MN 55805-1951 Ph: () -	Kenji Sudoh, 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364

Reviews and Comments

Family Medicine Doctors in Duluth, MN

Dr. Kylie Elizabeth Kraft, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122
Steven Peter Phillipson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4621 E Superior St, Duluth, MN 55804 Phone: 218-786-3550 Fax: 218-525-7487
Dr. Jennifer Lynn Jones, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 221-872-3111 Fax: 218-529-9120
Dr. Eric David Boehmer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 420 E 1st St, Duluth, MN 55805 Phone: 218-786-8364
Dr. Joseph Christopher Metzger Jr., MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9122
Ms. Kayla Jean Olds, FNP Family Medicine Medicare: Medicare Enrolled Practice Location: 1414 Woodland Ave, Duluth, MN 55803 Phone: 218-302-1000
Dr. Rachel Marie Wilcox, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 330 N 8th Ave E, Duluth, MN 55805 Phone: 218-529-9103

Kenji Sudoh, - Medicare Sports Medicine in Duluth, MN