Ms Katherine Diaz Vickery, MD, MSC - Medicare Family Medicine in Minneapolis, MN

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Ms Katherine Diaz Vickery, MD, MSC is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. Her current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 873-6852.

Ms Katherine Diaz Vickery is licensed to practice in Minnesota (license number 52548) 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 1538335146.

Contact Information

Ms Katherine Diaz Vickery, MD, MSC
701 Park Ave,
Minneapolis, MN 55415-1623
(612) 873-6852
Not Available

Map and Direction




Physician's Profile

Full NameMs Katherine Diaz Vickery
GenderFemale
SpecialityFamily Medicine
Location701 Park Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1538335146
  • Provider Enumeration Date: 05/03/2008
  • Last Update Date: 01/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8729268339
  • Enrollment ID: I20110214000495

Medical Identifiers

Medical identifiers for Ms Katherine Diaz Vickery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538335146NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 4301100106 (Michigan)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207Q00000XFamily Medicine 52548 (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. Ms Katherine Diaz Vickery allows following entities to bill medicare on her behalf.
Entity NameHennepin County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780790345
PECOS PAC ID: 7911892849
Enrollment ID: O20040218001012
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467

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. Ms Katherine Diaz Vickery 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
Ms Katherine Diaz Vickery, MD, MSC
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 873-6852		Ms Katherine Diaz Vickery, MD, MSC
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 873-6852

Reviews and Comments


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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.