Dr Matthew David Hermansen, DO, PHARMD is a medicare enrolled "Anesthesiology" provider in Plymouth, Minnesota. He graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Metropolitan Anesthesia Network Llp and his current practice location is
14700 28th Ave N Ste 20, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 559-3779.
Dr Matthew David Hermansen is licensed to practice in Texas (license number Q9372) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1437418324.
Healthcare Provider's Profile
| Full Name | Dr Matthew David Hermansen |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 11 Years |
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| Location | 14700 28th Ave N Ste 20, Plymouth, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Matthew David Hermansen graduated from medical school in 2013
NPI Data:
- NPI Number: 1437418324
- Provider Enumeration Date: 05/11/2012
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921372376
- Enrollment ID: I20200415000105
Medical Identifiers
Medical identifiers for Dr Matthew David Hermansen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1437418324 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 46508 (Texas) | Secondary |
| 207L00000X | Anesthesiology | 02005166A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | BP10046239 (Texas) | Secondary |
| 207L00000X | Anesthesiology | Q9372 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Metropolitan Anesthesia Network Llp | 5698689123 | 632 |
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. Dr Matthew David Hermansen allows following entities to bill medicare on his behalf.
| Entity Name | Metropolitan Anesthesia Network Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579 |
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| Entity Name | Ams Maple Grove Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871913582
PECOS PAC ID: 8527287762
Enrollment ID: O20140919001422 |
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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. Dr Matthew David Hermansen 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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Dr Matthew David Hermansen, DO, PHARMD
6381 Bois D'arc,
Gilmer, TX 75644
Ph: (903) 576-2594 | Dr Matthew David Hermansen, DO, PHARMD
14700 28th Ave N Ste 20,
Plymouth, MN 55447-4876
Ph: (763) 559-3779 |
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