Luciano I Kolodny, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Lake Elmo, Minnesota. His current practice location is
12910 12th St N, Lake Elmo, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(612) 616-4939.
Luciano I Kolodny is licensed to practice in Minnesota (license number 45441) 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 1881653772.
Physician's Profile
Full Name | Luciano I Kolodny |
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Gender | Male |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
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Location | 12910 12th St N, Lake Elmo, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881653772
- Provider Enumeration Date: 03/21/2006
- Last Update Date: 07/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395717755
- Enrollment ID: I20040806001246
Medical Identifiers
Medical identifiers for Luciano I Kolodny such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881653772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 43176-020 (Wisconsin) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036-103933 (Illinois) | Secondary |
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 45441 (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. Luciano I Kolodny allows following entities to bill medicare on his behalf.
Entity Name | Glutality Provider Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083256168 PECOS PAC ID: 9032549837 Enrollment ID: O20200804002737 |
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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. Luciano I Kolodny 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 |
Luciano I Kolodny, MD 12910 12th St N, Lake Elmo, MN 55042-8602 Ph: (612) 616-4939 | Luciano I Kolodny, MD 12910 12th St N, Lake Elmo, MN 55042-8602 Ph: (612) 616-4939 |
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