Bodhi Kikue Kannon, MD in Fridley, MN

Bodhi Kikue Kannon, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Fridley, Minnesota. She went to University Of Washington School Of Medicine and graduated in 1989 and has 36 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Allina Health System and her current practice location is 480 Osborne Rd Ne Ste 260, Fridley, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 236-3800.

Bodhi Kikue Kannon is licensed to practice in Minnesota (license number 61296) 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 1740306240.

Contact Information

	Bodhi Kikue Kannon, MD
	480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866
	(763) 236-3800
	Not Available

Map and Direction

Physician's Profile

Full Name	Bodhi Kikue Kannon
Gender	Female
Speciality	Psychiatry
Experience	36 Years
Location	480 Osborne Rd Ne Ste 260, Fridley, 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:

Bodhi Kikue Kannon attended and graduated from University Of Washington School Of Medicine in 1989

NPI Data:

NPI Number: 1740306240
Provider Enumeration Date: 03/22/2007
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 0547249443
Enrollment ID: I20180323000581

Medical Identifiers

Medical identifiers for Bodhi Kikue Kannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740306240	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD00031094 (Washington)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	61296 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3584

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. Bodhi Kikue Kannon allows following entities to bill medicare on her behalf.

Entity Name	Ridgeview Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183

Entity Name	Minnesota Valley Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20040301000309

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Sibley Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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. Bodhi Kikue Kannon 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
Bodhi Kikue Kannon, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Bodhi Kikue Kannon, MD 480 Osborne Rd Ne Ste 260, Fridley, MN 55432-2866 Ph: (763) 236-3800

Reviews and Comments

Psychiatry & Neurology Doctors in Fridley, MN

Dr. Gloria J. Tong, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800
Dr. Nicole Caileigh Arthur, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 520 Osborne Rd Ne Ste 120, Fridley, MN 55432 Phone: 763-236-4300
Dr. James Christopher Van Doren, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800
Yee Xiong, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800 Fax: 763-236-3821
Patricia R Steffen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 480 Osborne Rd Ne, Ste 260, Fridley, MN 55432 Phone: 763-236-3800 Fax: 763-236-3821
Yasser El-said El-hammamy, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 260, Fridley, MN 55432 Phone: 763-236-3800
Jagdeep Kohli, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 500 Osborne Rd Ne, Ste 365, Fridley, MN 55432 Phone: 612-879-1000 Fax: 612-879-9116

Bodhi Kikue Kannon, MD - Medicare Psychiatry in Fridley, MN