Dr Kathleen Maccarthy Demanivel, MD in Maple Grove, MN

Dr Kathleen Maccarthy Demanivel, MD is a medicare enrolled "Dermatology" physician in Maple Grove, Minnesota. Her current practice location is 14500 99th Ave N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 898-1000.

Dr Kathleen Maccarthy Demanivel is licensed to practice in Minnesota (license number 31117) 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 1477543957.

Contact Information

	Dr Kathleen Maccarthy Demanivel, MD
	14500 99th Ave N, Maple Grove, MN 55369-4478
	(763) 898-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathleen Maccarthy Demanivel
Gender	Female
Speciality	Dermatology
Location	14500 99th Ave N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477543957
Provider Enumeration Date: 10/25/2005
Last Update Date: 08/13/2012

Medicare PECOS Information:

PECOS PAC ID: 8123050622
Enrollment ID: I20050906000742

Medical Identifiers

Medical identifiers for Dr Kathleen Maccarthy Demanivel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477543957	NPI	-	NPPES
550507100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	31117 (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 Kathleen Maccarthy Demanivel allows following entities to bill medicare on her behalf.

Entity Name	Tareen Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063782621 PECOS PAC ID: 8123288156 Enrollment ID: O20120328000470

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 Kathleen Maccarthy Demanivel 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
Dr Kathleen Maccarthy Demanivel, MD 14500 99th Ave N, Maple Grove, MN 55369-4478 Ph: (763) 898-1000	Dr Kathleen Maccarthy Demanivel, MD 14500 99th Ave N, Maple Grove, MN 55369-4478 Ph: (763) 898-1000

Reviews and Comments

Dermatology Doctors in Maple Grove, MN

Jeannie Therese Larson, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Lane N, Maple Grove, MN 55369 Phone: 952-993-3260
Ronda Farah, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1570 Fax: 763-898-1576
Dr. Sheilagh M Maguiness, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Amrita Goyal-o'leary, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-3376
Heidi G H Cole, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Lane North, Maple Grove, MN 55369 Phone: 952-993-1440

Dr Kathleen Maccarthy Demanivel, MD - Medicare Dermatology in Maple Grove, MN