Andre Montoya Barthelemy, MD - Medicare Preventive Medicine in St Louis Park, MN

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Andre Montoya Barthelemy, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in St Louis Park, Minnesota. His current practice location is 1665 Utica Ave S Ste 100, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 541-2500.

Andre Montoya Barthelemy is licensed to practice in New Mexico (license number MD2020-1007) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992048672.

Contact Information

Andre Montoya Barthelemy, MD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476
(952) 541-2500
(952) 541-2539

Map and Direction




Physician's Profile

Full NameAndre Montoya Barthelemy
GenderMale
SpecialityPreventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location1665 Utica Ave S Ste 100, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992048672
  • Provider Enumeration Date: 04/01/2013
  • Last Update Date: 12/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638461023
  • Enrollment ID: I20160705001329

Medical Identifiers

Medical identifiers for Andre Montoya Barthelemy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992048672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 60524 (Minnesota)Secondary
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine MD2020-1007 (New Mexico)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. Andre Montoya Barthelemy allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. Andre Montoya Barthelemy 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
Andre Montoya Barthelemy, MD
8170 33rd Ave S, Ms: 21110q,
Bloomington, MN 55425-4516

Ph: (952) 541-2500		Andre Montoya Barthelemy, MD
1665 Utica Ave S Ste 100,
St Louis Park, MN 55416-3476

Ph: (952) 541-2500

Reviews and Comments


Preventive Medicine Doctors in St Louis Park, MN

Dr. Victor C Van Hee, M.D.
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-1000    
Dr. John Galin Sandness, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3601 Park Center Blvd, Suite 311, St Louis Park, MN 55416
Phone: 952-922-2012    
Dr. Ken Ujifusa, PSY.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1665 Utica Ave S Ste 100, St Louis Park, MN 55416
Phone: 952-541-2500    Fax: 952-541-2539
Paul Joseph Anderson Ii, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 3800 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-993-3123    Fax: 952-993-3286
Robert J Gorman, MD
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5100 Gamble Dr Suite 100-mail Stop 31200a, Healthpartners West Clinic, St Louis Park, MN 55416
Phone: 952-541-2500    Fax: 952-595-6455

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.