Kimberly Vanessa Heffron-reitzel, MA, LP is a medicare enrolled "Psychologist" provider in Andover, Minnesota. Her current practice location is
1875 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 482-9598.
Kimberly Vanessa Heffron-reitzel is licensed to practice in Minnesota (license number LP5194) 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 1366578023.
Healthcare Provider's Profile
Full Name | Kimberly Vanessa Heffron-reitzel |
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Gender | Female |
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Speciality | Psychologist |
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Location | 1875 Station Pkwy Nw, Andover, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366578023
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 5597104711
- Enrollment ID: I20240419001830
Medical Identifiers
Medical identifiers for Kimberly Vanessa Heffron-reitzel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366578023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | LP5194 (Minnesota) | Secondary |
103T00000X | Psychologist | LP5194 (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. Kimberly Vanessa Heffron-reitzel allows following entities to bill medicare on her behalf.
Entity Name | Jennie Yngsdahl Ma Licensed Psychologist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417233701 PECOS PAC ID: 1759727787 Enrollment ID: O20240312003031 |
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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. Kimberly Vanessa Heffron-reitzel 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 |
Kimberly Vanessa Heffron-reitzel, MA, LP 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598 | Kimberly Vanessa Heffron-reitzel, MA, LP 1875 Station Pkwy Nw, Andover, MN 55304-3319 Ph: (763) 482-9598 |
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