Tess Michielutti, MD - Medicare Internal Medicine in Maple Grove, MN

Tess Michielutti, MD is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. She went to University Of Minnesota Medical School and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Park Nicollet Clinic and her current practice location is 9555 Upland Ln N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-1440.

Tess Michielutti is licensed to practice in Minnesota (license number 67174) 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 1477086288.

Contact Information

Tess Michielutti, MD
9555 Upland Ln N,
Maple Grove, MN 55369-4485
(952) 993-1440
Not Available

Map and Direction




Physician's Profile

Full NameTess Michielutti
GenderFemale
SpecialityInternal Medicine
Experience7 Years
Location9555 Upland Ln N, Maple Grove, 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:
  • Tess Michielutti attended and graduated from University Of Minnesota Medical School in 2017
  NPI Data:
  • NPI Number: 1477086288
  • Provider Enumeration Date: 04/07/2017
  • Last Update Date: 10/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5496022501
  • Enrollment ID: I20211105001253

Medical Identifiers

Medical identifiers for Tess Michielutti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477086288NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 67174 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208000000XPediatrics 67174 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381530

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. Tess Michielutti allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. Tess Michielutti 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
Tess Michielutti, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Tess Michielutti, MD
9555 Upland Ln N,
Maple Grove, MN 55369-4485

Ph: (952) 993-1440

Reviews and Comments


Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    
Dr. Susan K. Mahle, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    Fax: 763-559-1338
Pamela Jean Niksich, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 763-559-2861    Fax: 763-559-1338
Gretchen A Voge, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369
Phone: 888-455-2229    
Aaron Wendell Swenson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369
Phone: 612-322-6903    
Jeanne D Mrozek, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369
Phone: 612-813-6475    
Dr. Rebecca A Doege, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369
Phone: 414-266-2000    

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.