Kjersten Rae Grinde, DPT is a medicare enrolled "Physical Therapist" provider in Colombia Heights, Minnesota. Her current practice location is
3801 Hart Boulevard, Colombia Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 210-6697.
Kjersten Rae Grinde is licensed to practice in Minnesota (license number 10046) 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 1235515594.
Healthcare Provider's Profile
| Full Name | Kjersten Rae Grinde |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 3801 Hart Boulevard, Colombia Heights, 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: 1235515594
- Provider Enumeration Date: 08/09/2015
- Last Update Date: 08/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 2567779523
- Enrollment ID: I20160926000288
Medical Identifiers
Medical identifiers for Kjersten Rae Grinde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235515594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 10046 (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. Kjersten Rae Grinde allows following entities to bill medicare on her behalf.
| Provider Name | Primary Therapy Source, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912027343
PECOS PAC ID: 7012002702
Enrollment ID: O20070926000529 |
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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. Kjersten Rae Grinde 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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Kjersten Rae Grinde, DPT
3801 Hart Boulevard,
Colombia Heights, MN 55421-4106
Ph: (763) 210-6697 | Kjersten Rae Grinde, DPT
3801 Hart Boulevard,
Colombia Heights, MN 55421-4106
Ph: (763) 210-6697 |
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