Dr Ellen Ann Sevenich, MD - Medicare Family Medicine in St. Louis Park, MN

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Dr Ellen Ann Sevenich, MD is a medicare enrolled "Family Medicine" physician in St. Louis Park, Minnesota. Her current practice location is 3850 Park Nicollet Ave, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 993-3123.

Dr Ellen Ann Sevenich is licensed to practice in Minnesota (license number 37235) 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 1871842328.

Contact Information

Dr Ellen Ann Sevenich, MD
3850 Park Nicollet Ave,
St. Louis Park, MN 55416
(651) 993-3123
Not Available

Map and Direction




Physician's Profile

Full NameDr Ellen Ann Sevenich
GenderFemale
SpecialityFamily Medicine
Location3850 Park Nicollet Ave, 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: 1871842328
  • Provider Enumeration Date: 08/30/2012
  • Last Update Date: 08/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 4183876592
  • Enrollment ID: I20121212000000

Medical Identifiers

Medical identifiers for Dr Ellen Ann Sevenich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871842328NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37235 (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. Dr Ellen Ann Sevenich allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046
Entity NameWest Side Community Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821149964
PECOS PAC ID: 2062306434
Enrollment ID: O20040209000647

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. Dr Ellen Ann Sevenich 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
Dr Ellen Ann Sevenich, MD
2335 Stewart Ave., 217,
St. Paul, MN 55116

Ph: (651) 698-4522		Dr Ellen Ann Sevenich, MD
3850 Park Nicollet Ave,
St. Louis Park, MN 55416

Ph: (651) 993-3123

Reviews and Comments


Family Medicine Doctors in St. Louis Park, MN

Robert F Goblirsch, MD
Family 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
Dr. Dina Rebecca Blumenfield, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
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
Charles M Bass, MD
Family 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
Michael W Kelly, MD
Family 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
Jeffery Carl Morgan, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 6200 Excelsior Blvd Suite 202, St. Louis Park, MN 55416
Phone: 952-548-9340    Fax: 952-548-9350

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.