Kacey Retterath, LPN is a
Licensed Practical Nurse based in Maple Grove, Minnesota. Kacey Retterath is licensed to practice in Minnesota (license number 817248) and her current practice location is
10467 93rd Ave N, Maple Grove, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 488-4655.
NPI number for Kacey Retterath is 1114559390 and her current mailing address is 10467 93rd Ave N, Maple Grove, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114559390.
Provider's Profile
| Full Name | Kacey Retterath |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 10467 93rd Ave N, Maple Grove, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114559390
- Provider Enumeration Date: 02/06/2020
- Last Update Date: 02/06/2020
Medical Identifiers
Medical identifiers for Kacey Retterath such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114559390 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 817248 (Minnesota) | Primary |
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. Kacey Retterath is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kacey Retterath, LPN
10467 93rd Ave N,
Maple Grove, MN 55369-4112
Ph: (651) 488-4655 | Kacey Retterath, LPN
10467 93rd Ave N,
Maple Grove, MN 55369-4112
Ph: (651) 488-4655 |
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