Kyle Bradley Flikkema, DO is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Brooklyn Park, Minnesota. His current practice location is
5601 96th Ave N Ste 200, Brooklyn Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 786-9543.
Kyle Bradley Flikkema is licensed to practice in Minnesota (license number 76795) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639663354.
Physician's Profile
| Full Name | Kyle Bradley Flikkema |
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| Gender | Male |
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| Speciality | Orthopaedic Surgery - Sports Medicine |
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| Location | 5601 96th Ave N Ste 200, Brooklyn Park, 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: 1639663354
- Provider Enumeration Date: 06/16/2018
- Last Update Date: 06/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224383708
- Enrollment ID: I20240813003496
Medical Identifiers
Medical identifiers for Kyle Bradley Flikkema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1639663354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 321912 (New York) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 76795 (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. Kyle Bradley Flikkema allows following entities to bill medicare on his behalf.
| Entity Name | Infinite Health Collaborative Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164474250
PECOS PAC ID: 1052225042
Enrollment ID: O20040209000574 |
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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. Kyle Bradley Flikkema 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 |
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Kyle Bradley Flikkema, DO
3500 American Blvd W Ste 300,
Bloomington, MN 55431-4442
Ph: (952) 512-5600 | Kyle Bradley Flikkema, DO
5601 96th Ave N Ste 200,
Brooklyn Park, MN 55443-4505
Ph: (763) 786-9543 |
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