Mary L Ezzo, MD in Woodbury, MN - Medicare Family Medicine

Mary L Ezzo, MD is a medicare enrolled "Family Medicine" physician in Woodbury, Minnesota. Her current practice location is 8675 Valley Creek Road, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 241-3000.

Mary L Ezzo is licensed to practice in Minnesota (license number 26943) 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 1659332021.

Contact Information

	Mary L Ezzo, MD
	8675 Valley Creek Road, Woodbury, MN 55125-2337
	(651) 241-3000
	(651) 483-2155

Map and Direction

Physician's Profile

Full Name	Mary L Ezzo
Gender	Female
Speciality	Family Medicine
Location	8675 Valley Creek Road, Woodbury, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659332021
Provider Enumeration Date: 03/28/2006
Last Update Date: 02/08/2012

Medicare PECOS Information:

PECOS PAC ID: 2466486154
Enrollment ID: I20050922000105

Medical Identifiers

Medical identifiers for Mary L Ezzo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659332021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	26943 (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. Mary L Ezzo allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Mary L Ezzo 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
Mary L Ezzo, MD 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	Mary L Ezzo, MD 8675 Valley Creek Road, Woodbury, MN 55125-2337 Ph: (651) 241-3000

Reviews and Comments

Family Medicine Doctors in Woodbury, MN

Karen J. Sedivy, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Road, Woodbury, MN 55125 Phone: 651-241-3000
Paul N. Sandager, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000
Sarah M Aldrich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000
Christian Rich Matthews, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1875 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-232-6700
Christina Juhl, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000
Jane M Herrmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000
Gregory T Dunn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000

Mary L Ezzo, MD - Medicare Family Medicine in Woodbury, MN