Kathryn Joan Tietz, NP in Minneapolis, MN - Medicare Nurse Practitioner

Kathryn Joan Tietz, NP is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. Her current practice location is 800 E 28th St Ste H2100, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 863-3900.

Kathryn Joan Tietz is licensed to practice in Minnesota (license number 10622) 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 1043095656.

Contact Information

	Kathryn Joan Tietz, NP
	800 E 28th St Ste H2100, Minneapolis, MN 55407-3723
	(612) 863-3900
	(612) 775-3199

Map and Direction

Provider's Profile

Full Name	Kathryn Joan Tietz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	800 E 28th St Ste H2100, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043095656
Provider Enumeration Date: 08/30/2023
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4284080532
Enrollment ID: I20231024000961

Medical Identifiers

Medical identifiers for Kathryn Joan Tietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043095656	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10622 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	10622 (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. Kathryn Joan Tietz allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

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. Kathryn Joan Tietz 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
Kathryn Joan Tietz, NP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Kathryn Joan Tietz, NP 800 E 28th St Ste H2100, Minneapolis, MN 55407-3723 Ph: (612) 863-3900

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

Shiao-lin D Hui, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 2nd Ave S, Suite 400, Minneapolis, MN 55402 Phone: 612-659-7111 Fax: 612-659-7101
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Anne Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2530 Chicago Ave, Csc 390, Minneapolis, MN 55404 Phone: 612-813-6102
Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Kathryn Joan Tietz, NP - Medicare Nurse Practitioner in Minneapolis, MN