Dr Teresa Louise-keller Gurin, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Eagan, Minnesota. Her current practice location is
4660 Slater Rd Ste 240, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 223-3339.
Dr Teresa Louise-keller Gurin is licensed to practice in Minnesota (license number 39052) 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 1821046566.
Physician's Profile
| Full Name | Dr Teresa Louise-keller Gurin |
|---|
| Gender | Female |
|---|
| Speciality | Physical Medicine & Rehabilitation |
|---|
| Location | 4660 Slater Rd Ste 240, Eagan, Minnesota |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821046566
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 11/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193870210
- Enrollment ID: I20090825000719
Medical Identifiers
Medical identifiers for Dr Teresa Louise-keller Gurin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821046566 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 39052 (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 Teresa Louise-keller Gurin allows following entities to bill medicare on her behalf.
| Entity Name | Sports Orthopedic Advanced Rehabilitation, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1780910802 PECOS PAC ID: 9133260375 Enrollment ID: O20100109000140 |
|---|
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 Teresa Louise-keller Gurin 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 Teresa Louise-keller Gurin, MD 4660 Slater Rd Ste 240, Eagan, MN 55122-4047 Ph: (952) 223-3339 | Dr Teresa Louise-keller Gurin, MD 4660 Slater Rd Ste 240, Eagan, MN 55122-4047 Ph: (952) 223-3339 |
Reviews and Comments