Kelsey A Diederich, PT - Medicare Physical Therapist in St Cloud, MN

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Kelsey A Diederich, PT is a medicare enrolled "Physical Therapist" provider in St Cloud, Minnesota. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice St Cloud Hospital and her current practice location is St Cloud Hospital, 1406 6th Avenue North, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 251-2700.

Kelsey A Diederich is licensed to practice in Minnesota (license number 9786) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1477092971.

Contact Information

Kelsey A Diederich, PT
St Cloud Hospital, 1406 6th Avenue North,
St Cloud, MN 56303-1901
(320) 251-2700
(320) 656-7115

Map and Direction




Healthcare Provider's Profile

Full NameKelsey A Diederich
GenderFemale
SpecialityPhysical Therapy
Experience10 Years
LocationSt Cloud Hospital, St Cloud, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey A Diederich graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1477092971
  • Provider Enumeration Date: 02/16/2017
  • Last Update Date: 07/06/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8729331335
  • Enrollment ID: I20181030000072

Medical Identifiers

Medical identifiers for Kelsey A Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477092971NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 9786 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Cloud Hospital4880594779187

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. Kelsey A Diederich allows following entities to bill medicare on her behalf.
Provider NameCentracare Clinic
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Provider NameSt Cloud Hospital
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134

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. Kelsey A Diederich 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 AddressPractice Location Address
Kelsey A Diederich, PT
St Cloud Hospital, 1406 6th Avenue North,
St Cloud, MN 56303-1901

Ph: (320) 251-2700		Kelsey A Diederich, PT
St Cloud Hospital, 1406 6th Avenue North,
St Cloud, MN 56303-1901

Ph: (320) 251-2700

Reviews and Comments


Physical Therapist in St Cloud, MN

Filip Lee Johnson, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 251 County Road 120, Suite A, St Cloud, MN 56303
Phone: 320-259-5429    Fax: 320-240-8905
Douglas Sticha, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1406 6 Th Ave North, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115
Julia Dawn Veltri Noonan, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1406 6th Avenue North, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.