Keith E Eidman, DO in Minneapolis, MN

Keith E Eidman, DO is a medicare enrolled "Internal Medicine - Nephrology" physician in Minneapolis, Minnesota. He graduated from medical school in 1999 and has 26 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Fairview Health Services, Intermed Consultants Dialysis Pllc, Intermed Consultants,ltd., Department Of Health And Human Services Phs Ihs and his current practice location is 701 Park Ave, S5, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 347-5871.

Keith E Eidman is licensed to practice in Minnesota (license number 42869) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1174579437.

Contact Information

	Keith E Eidman, DO
	701 Park Ave, S5, Minneapolis, MN 55415-1623
	(612) 347-5871
	(612) 347-2003

Map and Direction

Physician's Profile

Full Name	Keith E Eidman
Gender	Male
Speciality	Nephrology
Experience	26 Years
Location	701 Park Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith E Eidman graduated from medical school in 1999

NPI Data:

NPI Number: 1174579437
Provider Enumeration Date: 05/26/2006
Last Update Date: 10/02/2012

Medicare PECOS Information:

PECOS PAC ID: 8628024411
Enrollment ID: I20050324000564

Medical Identifiers

Medical identifiers for Keith E Eidman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174579437	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	42869 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cass Lake Dialysis Of Davita	Cass lake, MN	Dialysis facility
Minneapolis Dialysis Of Davita	Minneapolis, MN	Dialysis facility
Fairview Southdale Hospital	Edina, MN	Hospital
Cass Lake Indian Health Services Hospital	Cass lake, MN	Hospital
Fairview Ridges Hospital	Burnsville, MN	Hospital
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Health Services	1951213057	551
Intermed Consultants Dialysis Pllc	7012225105	11
Intermed Consultants,ltd.	8022033372	16
Department Of Health And Human Services Phs Ihs	7517879794	26

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. Keith E Eidman allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Intermed Consultants,ltd.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962596221 PECOS PAC ID: 8022033372 Enrollment ID: O20051006000224

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	Intermed Consultants Dialysis Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376912857 PECOS PAC ID: 7012225105 Enrollment ID: O20151009002328

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. Keith E Eidman 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
Keith E Eidman, DO 701 Park Ave, Minneapolis, MN 55415-1623 Ph: () -	Keith E Eidman, DO 701 Park Ave, S5, Minneapolis, MN 55415-1623 Ph: (612) 347-5871

Reviews and Comments

Internal Medicine Doctors in Minneapolis, MN

Pascal Frino, M.D Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-3183
Dr. Ronald Alexander Reilkoff, M.D. Nephrology Medicare: May Accept Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Traci Arnette Roberts, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026
Eugenia Shmidt, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 507-284-2511
Daniel Tesfaye Kebed, MD Nephrology Medicare: May Accept Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 Fax: 612-273-4098
Amr Idris, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 920 E 28th St Ste 300, Minneapolis, MN 55407 Phone: 612-863-1681
Tenzin Yangchen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 612-863-4000 Fax: 763-236-3026

Keith E Eidman, DO - Medicare Nephrology in Minneapolis, MN