Dr Laura Kooistra Archibald, MD in Minneapolis, MN

Dr Laura Kooistra Archibald, MD is a medicare enrolled "Dermatology" physician in Minneapolis, Minnesota. Her current practice location is 420 Delaware Street Se, Mmc 98, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 624-9964.

Dr Laura Kooistra Archibald is licensed to practice in Minnesota (license number 73044) 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 1790348472.

Contact Information

	Dr Laura Kooistra Archibald, MD
	420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455
	(612) 624-9964
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Laura Kooistra Archibald
Gender	Female
Speciality	Dermatology
Location	420 Delaware Street Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790348472
Provider Enumeration Date: 04/17/2019
Last Update Date: 03/08/2024

Medicare PECOS Information:

PECOS PAC ID: 9537494679
Enrollment ID: I20230215002036

Medical Identifiers

Medical identifiers for Dr Laura Kooistra Archibald such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790348472	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	01092483A (Indiana)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	01092483A (Indiana)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207N00000X	Dermatology	73044 (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 Laura Kooistra Archibald allows following entities to bill medicare on her behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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 Laura Kooistra Archibald 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 Laura Kooistra Archibald, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Dr Laura Kooistra Archibald, MD 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 Ph: (612) 624-9964

Reviews and Comments

Dermatology Doctors in Minneapolis, MN

Andrea Lynn Bershow, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 516 Delaware St Se, 4-240, Phillips-wangensteen Bldg., Minneapolis, MN 55455 Phone: 612-625-8625 Fax: 612-624-6678
Richard D Steinberg, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2220 Riverside Ave S, Mail Stop 31700a, Minneapolis, MN 55454 Phone: 612-371-1600 Fax: 612-371-1732
Kristen Paige Hook, MD Dermatology Medicare: Medicare Enrolled Practice Location: 3316 W 66th St Ste 200, Minneapolis, MN 55435 Phone: 952-920-3808 Fax: 952-920-8899
Dr. Margareth Pierre-louis, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5000 W 36th St Ste 205, Minneapolis, MN 55416 Phone: 612-268-5005
Dr. Sara Anne Hylwa, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 730 South 8th Street, Department Of Dermatology, Minneapolis, MN 55415 Phone: 612-873-3000
Dr. Maria Kramarczuk Hordinsky, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 516 Delaware Street Se, Clinic 5a, Dermatology Clinic, Minneapolis, MN 55455 Phone: 612-625-5656 Fax: 612-672-7422
Lorie A Skibness, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2220 Riverside Ave S., Ms31700a Healthpartners Riverside Clinic, Minneapolis, MN 55454 Phone: 612-341-5000 Fax: 612-371-1673

Dr Laura Kooistra Archibald, MD - Medicare Dermatology in Minneapolis, MN