Kelly Renee Dietz, MD - Medicare Diagnostic Radiology in Minneapolis, MN

  1. Home
  2. Radiology
  3. MN
  4. Minneapolis
Kelly Renee Dietz, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Minneapolis, Minnesota. She went to University Of Minnesota Medical School and graduated in 2006 and has 18 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Fairview Express Care, Fairview Clinics, University Of Minnesota Health Clinics And Surgery Center Inc and her current practice location is 516 Delaware Street Se, Umphysicians Imaging Center, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 624-1500.

Kelly Renee Dietz is licensed to practice in Minnesota (license number 53312) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295877702.

Contact Information

Kelly Renee Dietz, MD
516 Delaware Street Se, Umphysicians Imaging Center,
Minneapolis, MN 55455-0341
(612) 624-1500
Not Available

Map and Direction




Physician's Profile

Full NameKelly Renee Dietz
GenderFemale
SpecialityDiagnostic Radiology
Experience18 Years
Location516 Delaware Street Se, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Renee Dietz attended and graduated from University Of Minnesota Medical School in 2006
  NPI Data:
  • NPI Number: 1295877702
  • Provider Enumeration Date: 02/12/2007
  • Last Update Date: 03/26/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 0648434209
  • Enrollment ID: I20120611000480

Medical Identifiers

Medical identifiers for Kelly Renee Dietz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295877702NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 19422 (Minnesota)Secondary
2085R0202XRadiology - Diagnostic Radiology 53312 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523
Fairview Clinics7113830142658
University Of Minnesota Health Clinics And Surgery Center Inc9133423304492

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. Kelly Renee Dietz allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St Joseph's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134186273
PECOS PAC ID: 2365348869
Enrollment ID: O20031208000245
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Kelly Renee Dietz 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 AddressPractice Location Address
Kelly Renee Dietz, MD
720 Washington Ave Se, University Of Minnesota Physicians,
Minneapolis, MN 55414

Ph: (612) 884-0649		Kelly Renee Dietz, MD
516 Delaware Street Se, Umphysicians Imaging Center,
Minneapolis, MN 55455-0341

Ph: (612) 624-1500

Reviews and Comments


Radiology Doctors in Minneapolis, MN

Dr. Patsa H Sullivan, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 800 E 28th Street, Minneapolis, MN 55407
Phone: 612-863-4060    Fax: 952-808-8131
Sameer Devchandbhai Gadani, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 420 Delaware St Se, Mmc 293, Minneapolis, MN 55455
Phone: 612-625-7634    
Philippe R L'heureux, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 701 Park Ave, P4, Minneapolis, MN 55415
Phone: 612-873-2789    
Dr. Yanerys M. Ramos, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 2525 Chicago Ave, Radiology, Minneapolis, MN 55404
Phone: 612-813-8200    
Dr. Edward A Juodis, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Harvard St Se, Unit J2-300 University Of Minnesota Physicians, Minneapolis, MN 55455
Phone: 612-273-6004    
Stephanie Terezakis, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Harvard St Se, Minneapolis, MN 55455
Phone: 612-273-6700    
Charles Victorino Mccahery,
Radiology
Medicare: Medicare Enrolled
Practice Location: 420 Delaware St Se # 292, Minneapolis, MN 55455
Phone: 612-626-3345    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.