Kimberly Knowles Deroche, MD in Minneapolis, MN

Kimberly Knowles Deroche, MD is a medicare enrolled "Family Medicine" physician in Minneapolis, Minnesota. She went to University Of Minnesota Medical School and graduated in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Fairview Clinics and her current practice location is 2849 Johnson St Ne, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 706-4500.

Kimberly Knowles Deroche is licensed to practice in Minnesota (license number 41601) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386611150.

Contact Information

	Kimberly Knowles Deroche, MD
	2849 Johnson St Ne, Minneapolis, MN 55418-3055
	(612) 706-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Knowles Deroche
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	2849 Johnson St Ne, Minneapolis, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Knowles Deroche attended and graduated from University Of Minnesota Medical School in 1998

NPI Data:

NPI Number: 1386611150
Provider Enumeration Date: 03/01/2006
Last Update Date: 05/13/2008

Medicare PECOS Information:

PECOS PAC ID: 0840246708
Enrollment ID: I20050324000216

Medical Identifiers

Medical identifiers for Kimberly Knowles Deroche such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386611150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	41601 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Clinics	7113830142	658

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 Knowles Deroche allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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 Knowles Deroche 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 Knowles Deroche, MD 2849 Johnson St Ne, Minneapolis, MN 55418-3055 Ph: () -	Kimberly Knowles Deroche, MD 2849 Johnson St Ne, Minneapolis, MN 55418-3055 Ph: (612) 706-4500

Reviews and Comments

Family Medicine Doctors in Minneapolis, MN

David Jewison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2525 University Ave Se, Minneapolis, MN 55414 Phone: 612-884-0406
Kristopher Hartwig, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-725-2000
Emily Funk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-262-5000
Dr. Ian G Latham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2450 Riverside Avenue South, Minneapolis, MN 55454 Phone: 612-273-9848
Ms. Stephanie Grady, PA & NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-2612
Lee W Rock, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4730 Chicago Ave, Minneapolis, MN 55407 Phone: 952-883-6805
David Jonathan Satin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2615 East Franklin Avenue, Ufp - Smiley's Clinic, Minneapolis, MN 55406 Phone: 612-333-0770

Kimberly Knowles Deroche, MD - Medicare Family Practice in Minneapolis, MN