Tressa G Dykstra, CNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Minneapolis, Minnesota. Her current practice location is
2530 Chicago Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 813-6300.
Tressa G Dykstra is licensed to practice in South Dakota (license number CP000683) 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 1023385887.
Physician's Profile
Full Name | Tressa G Dykstra |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 2530 Chicago Ave, Minneapolis, 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: 1023385887
- Provider Enumeration Date: 11/22/2011
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 9032385232
- Enrollment ID: I20200514002144
Medical Identifiers
Medical identifiers for Tressa G Dykstra such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023385887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 3420 (Minnesota) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3420 (Minnesota) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | CP000683 (South Dakota) | 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. Tressa G Dykstra allows following entities to bill medicare on her behalf.
Entity Name | Secure Base Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285905885 PECOS PAC ID: 8628409299 Enrollment ID: O20200514001997 |
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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. Tressa G Dykstra 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 |
Tressa G Dykstra, CNP 2530 Chicago Ave, Minneapolis, MN 55404-4289 Ph: (612) 813-6300 | Tressa G Dykstra, CNP 2530 Chicago Ave, Minneapolis, MN 55404-4289 Ph: (612) 813-6300 |
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