Julie C Reddan, MD is a medicare enrolled "Otolaryngology" physician in Cambridge, Minnesota. Her current practice location is
701 Dellwood St S, Cambridge, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 689-8700.
Julie C Reddan is licensed to practice in Minnesota (license number 41710) 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 1366444366.
Physician's Profile
| Full Name | Julie C Reddan |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Location | 701 Dellwood St S, Cambridge, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366444366
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466471602
- Enrollment ID: I20100414000748
Medical Identifiers
Medical identifiers for Julie C Reddan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366444366 | NPI | - | NPPES |
| 1011352 | Other | MN | MEDICA CHOICE |
| 32578600 | Other | WI | MEDICAID - WISCONSIN |
| 855113 | Other | MN | AMERICA'S PPO |
| 1000010 | Other | MN | MEDICA PRIMARY |
| 83D52RE | Other | MN | BLUE CROSS |
| 123761 | Other | MN | UCARE |
| 974027900 | Medicaid | MN | |
| 1022115 | Other | MN | PREFERREDONE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | 41710 (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. Julie C Reddan allows following entities to bill medicare on her behalf.
| Entity Name | Ear Nose & Throat Specialty Care Of Minnesota Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336175744 PECOS PAC ID: 3274524020 Enrollment ID: O20051116000590 |
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| Entity Name | Allina Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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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. Julie C Reddan 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 |
Julie C Reddan, MD 2211 Park Ave, Minneapolis, MN 55404-3711 Ph: (612) 813-3863 | Julie C Reddan, MD 701 Dellwood St S, Cambridge, MN 55008-1920 Ph: (763) 689-8700 |
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