Katelyn Jo Dahedl, is a medicare enrolled "Physician Assistant" in Red Lake, Minnesota. Her current practice location is
24760 Hospital Drive, Red Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 679-3912.
Katelyn Jo Dahedl is licensed to practice in * (Not Available) (license number ) 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 1518587393.
Provider's Profile
Full Name | Katelyn Jo Dahedl |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 24760 Hospital Drive, Red Lake, 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: 1518587393
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547663791
- Enrollment ID: I20210726001002
Medical Identifiers
Medical identifiers for Katelyn Jo Dahedl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518587393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Katelyn Jo Dahedl 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 |
Katelyn Jo Dahedl, Po Box 497, Redlake, MN 56671-0497 Ph: (218) 679-3912 | Katelyn Jo Dahedl, 24760 Hospital Drive, Red Lake, MN 56671 Ph: (218) 679-3912 |
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