Leah Vivian Patullo, DO - Medicare Emergency Medicine in Plymouth, MN

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Leah Vivian Patullo, DO is a medicare enrolled "Emergency Medicine" physician in Plymouth, Minnesota. She graduated from medical school in 2018 and has 7 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc, Allina Health System, Emergency Care Consultants Pa and her current practice location is 2855 Campus Dr, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 577-7160.

Leah Vivian Patullo is licensed to practice in Minnesota (license number 76135) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376048041.

Contact Information

Leah Vivian Patullo, DO
2855 Campus Dr,
Plymouth, MN 55441-2649
(763) 577-7160
(763) 577-7074

Map and Direction




Physician's Profile

Full NameLeah Vivian Patullo
GenderFemale
SpecialityEmergency Medicine
Experience7 Years
Location2855 Campus Dr, Plymouth, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leah Vivian Patullo graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1376048041
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 06/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092144378
  • Enrollment ID: I20220926000546

Medical Identifiers

Medical identifiers for Leah Vivian Patullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376048041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 76135 (Minnesota)Primary
207P00000XEmergency Medicine 72759 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grand Strand Regional Medical CenterMyrtle beach, SCHospital
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acs Primary Care Physicians - Southeast Pc5193620714335
Allina Health System45875736133101
Emergency Care Consultants Pa549664016175

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. Leah Vivian Patullo allows following entities to bill medicare on her behalf.
Entity NameAcs Primary Care Physicians - Southeast Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861430555
PECOS PAC ID: 5193620714
Enrollment ID: O20090401000270

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. Leah Vivian Patullo 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
Leah Vivian Patullo, DO
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000		Leah Vivian Patullo, DO
2855 Campus Dr,
Plymouth, MN 55441-2649

Ph: (763) 577-7160

Reviews and Comments


Emergency Medicine Doctors in Plymouth, MN

Jessica Yee,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2855 Campus Dr, Plymouth, MN 55441
Phone: 763-577-7160    Fax: 763-577-7074
Dr. Mary Rochelle Swiggum, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2855 Campus Dr, Plymouth, MN 55441
Phone: 763-577-7160    
Christopher M Callahan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 25, Plymouth, MN 55447
Phone: 952-763-5553    
Elga Ottlilia Tinger, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 14700 28th Ave N, Suite 25, Plymouth, MN 55447
Phone: 763-450-5553    
Matthew Moldan, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447
Phone: 763-559-3779    Fax: 763-450-3986
Dr. Diliana Stoimenova Mittelsteadt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2855 Campus Dr, Plymouth, MN 55441
Phone: 763-577-7160    Fax: 763-577-7074

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.