David Lee Eenigenburg, MD in Coon Rapids, MN

David Lee Eenigenburg, MD is a medicare enrolled "Pediatrics" physician in Coon Rapids, Minnesota. His current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 780-9155.

David Lee Eenigenburg is licensed to practice in Minnesota (license number 31699) 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 1770545600.

Contact Information

	David Lee Eenigenburg, MD
	9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841
	(763) 780-9155
	Not Available

Map and Direction

Physician's Profile

Full Name	David Lee Eenigenburg
Gender	Male
Speciality	Pediatrics
Location	9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770545600
Provider Enumeration Date: 04/05/2006
Last Update Date: 12/01/2011

Medicare PECOS Information:

PECOS PAC ID: 3577740463
Enrollment ID: I20110601000582

Medical Identifiers

Medical identifiers for David Lee Eenigenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770545600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	31699 (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. David Lee Eenigenburg allows following entities to bill medicare on his behalf.

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	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. David Lee Eenigenburg 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
David Lee Eenigenburg, MD 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000	David Lee Eenigenburg, MD 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155

Reviews and Comments

Pediatrics Doctors in Coon Rapids, MN

Dr. Elise Nordeen Whitehill, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Drive, Coon Rapids, MN 55433 Phone: 763-780-9155
Daniel Mcgeary Farber, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433
Polo Chen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd, Unit 4 West, Pediatric Hospitalist, Coon Rapids, MN 55433 Phone: 763-236-9765 Fax: 763-236-7422
Kelsey Bergstrom Ankeny, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000
Mary E Illions-wilde, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000 Fax: 763-236-3433
Dr. Justin Ryan Leitch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Allina Medical Clinic - Coon Rapids, Coon Rapids, MN 55433 Phone: 763-780-9155
Jennifer Lynn Martin-mckay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155

David Lee Eenigenburg, MD - Medicare Pediatrics in Coon Rapids, MN