Kristin M Dettmer, CPNP in St Paul, MN - Medicare Nurse Practitioner

Kristin M Dettmer, CPNP is a medicare enrolled "Nurse Practitioner - Primary Care" in St Paul, Minnesota. Her current practice location is 345 North Smith Ave, Childrens Hospitals And Clinics Of Minnesota, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 220-6914.

Kristin M Dettmer is licensed to practice in Minnesota (license number R1307278) 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 1851478895.

Contact Information

	Kristin M Dettmer, CPNP
	345 North Smith Ave, Childrens Hospitals And Clinics Of Minnesota, St Paul, MN 55102
	(651) 220-6914
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin M Dettmer
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	345 North Smith Ave, St Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851478895
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5597995829
Enrollment ID: I20140305001301

Medical Identifiers

Medical identifiers for Kristin M Dettmer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851478895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R1307278 (Minnesota)	Primary
363LP0200X	Nurse Practitioner - Pediatrics	R1307278 (Minnesota)	Primary
363LP2300X	Nurse Practitioner - Primary Care	R1307278 (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. Kristin M Dettmer allows following entities to bill medicare on her behalf.

Entity Name	Emergency Care Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380

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

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Kristin M Dettmer 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
Kristin M Dettmer, CPNP 2910 Centre Pointe Dr 35-121a, Childrens Health Care, Roseville, MN 55113 Ph: (651) 855-2327	Kristin M Dettmer, CPNP 345 North Smith Ave, Childrens Hospitals And Clinics Of Minnesota, St Paul, MN 55102 Ph: (651) 220-6914

Reviews and Comments

Nurse Practitioner Nurses in St Paul, MN

Nancy Entgelmeier, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 N Smith Ave, Childrens Specialty Clinic Feeding Clinic Stpl Mpls, St Paul, MN 55102 Phone: 651-220-6446
Erin Florin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, St Paul, MN 55107 Phone: 952-853-8800
Judy L Peterson, CNNP CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 North Smith Ave, Childrens Specialty Clinic Nicu, St Paul, MN 55102 Phone: 651-220-6210 Fax: 651-220-7777
Rebekah A Forrest, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 347 North Smith Avenue, 401 Midwest Childrens Resource Center, St Paul, MN 55102 Phone: 651-220-6750 Fax: 651-220-6770
Karla Lynn Hurtley, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Children's Health Care, 345 North Smith Ave, St Paul, MN 55102 Phone: 651-220-6750
Monica M Overkamp, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Healthpartners Specialty Center 401, 401 Phalen Blvd-mail Stop 41103b, St Paul, MN 55130 Phone: 651-254-7820 Fax: 651-254-7827
Ms. Kathleen Marie Booth, RNC, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2115 Summit Ave, Student Health Services # 5056, St Paul, MN 55105 Phone: 651-962-6750 Fax: 651-962-6751

Kristin M Dettmer, CPNP - Medicare Nurse Practitioner in St Paul, MN