Kathryn Mary Decleene, - Medicare Physician Assistant in Cottage Grove, MN

Kathryn Mary Decleene, is a medicare enrolled "Physician Assistant" in Cottage Grove, Minnesota. Her current practice location is 6936 Pine Arbor Dr S, Cottage Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 326-5800.

Kathryn Mary Decleene is licensed to practice in * (Not Available) (license number ) 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 1609544717.

Contact Information

Kathryn Mary Decleene,
6936 Pine Arbor Dr S,
Cottage Grove, MN 55016-4645
(651) 326-5800
Not Available

Map and Direction




Provider's Profile

Full NameKathryn Mary Decleene
GenderFemale
SpecialityPhysician Assistant
Location6936 Pine Arbor Dr S, Cottage Grove, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609544717
  • Provider Enumeration Date: 09/02/2021
  • Last Update Date: 08/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3779939426
  • Enrollment ID: I20231101000576

Medical Identifiers

Medical identifiers for Kathryn Mary Decleene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609544717NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Kathryn Mary Decleene 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
Kathryn Mary Decleene,
5816 Albright Ct,
Eau Claire, WI 54701-5045

Ph: (920) 851-4302
Kathryn Mary Decleene,
6936 Pine Arbor Dr S,
Cottage Grove, MN 55016-4645

Ph: (651) 326-5800

Reviews and Comments


Physician Assistant Nurses in Cottage Grove, MN

Mitchell Scott Sebranek, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016
Phone: 651-458-1884    
Emily Sue Raven, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016
Phone: 651-488-1884    
Mitchel Leers, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 6936 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016
Phone: 651-326-5800    
Stacey L Ko, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7500 80th St S, Suite 100 - Ms 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016
Phone: 651-415-4100    Fax: 651-415-4101
Ekaterina Peterson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016
Phone: 651-458-1884    

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.