Katherine Ann Kondziolka, RD, LD in Minneapolis, MN - Medicare Dietitian, Registered Provider

Katherine Ann Kondziolka, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 273-5188.

Katherine Ann Kondziolka is licensed to practice in Minnesota (license number 3419) 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 1326447038.

Contact Information

	Katherine Ann Kondziolka, RD, LD
	2450 Riverside Ave, Minneapolis, MN 55454-1450
	(612) 273-5188
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine Ann Kondziolka
Gender	Female
Speciality	Dietitian, Registered
Location	2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326447038
Provider Enumeration Date: 08/19/2014
Last Update Date: 05/18/2015

Medicare PECOS Information:

PECOS PAC ID: 9234359530
Enrollment ID: I20141009000486

Medical Identifiers

Medical identifiers for Katherine Ann Kondziolka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326447038	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3419 (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. Katherine Ann Kondziolka allows following entities to bill medicare on her behalf.

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

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. Katherine Ann Kondziolka 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
Katherine Ann Kondziolka, RD, LD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: () -	Katherine Ann Kondziolka, RD, LD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 273-5188

Reviews and Comments

Dietitian, Registered in Minneapolis, MN

Kelly Scheller Williams, Dietitian Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-3216
Sarah E Johnson, RD LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963
Christina Manian, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Harvard St Se, Minneapolis, MN 55455 Phone: 612-273-5188
Laura C H Hanson, MS, RD, LN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 701 Park Ave, Minneapolis, MN 55415 Phone: 612-873-3693 Fax: 612-904-4326
Mr. Adam Joseph Kuchnia, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-273-0069
Aimee M Tritt, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963
Timothy Baebenroth, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-2004

Katherine Ann Kondziolka, RD, LD - Medicare Dietitian in Minneapolis, MN