Shelby Lynn Deitchler, DNP is a medicare enrolled "Nurse Practitioner - Family" in Albertville, Minnesota. Her current practice location is
5703 Lachman Ave Ne Ste 207, Albertville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 760-3285.
Shelby Lynn Deitchler is licensed to practice in Minnesota (license number 9347) 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 1871229492.
Provider's Profile
| Full Name | Shelby Lynn Deitchler |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5703 Lachman Ave Ne Ste 207, Albertville, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871229492
- Provider Enumeration Date: 07/26/2022
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173909397
- Enrollment ID: I20220926001649
Medical Identifiers
Medical identifiers for Shelby Lynn Deitchler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871229492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 9347 (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. Shelby Lynn Deitchler allows following entities to bill medicare on her behalf.
| Entity Name | Rejuv Medical Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033355086
PECOS PAC ID: 2264598077
Enrollment ID: O20090303000526 |
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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. Shelby Lynn Deitchler 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 |
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Shelby Lynn Deitchler, DNP
5703 Lachman Ave Ne Ste 207,
Albertville, MN 55301-3973
Ph: (763) 760-3285 | Shelby Lynn Deitchler, DNP
5703 Lachman Ave Ne Ste 207,
Albertville, MN 55301-3973
Ph: (763) 760-3285 |
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