Kinsey A Shultz Piatz, MD is a medicare enrolled "Family Medicine" physician in Summerset, South Dakota. She went to University Of North Dakota School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. Her current practice location is
8075 Stage Stop Rd, Summerset, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 719-7313.
Kinsey A Shultz Piatz is licensed to practice in Iowa (license number 36783) 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 1770598427.
Physician's Profile
| Full Name | Kinsey A Shultz Piatz |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 19 Years |
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| Location | 8075 Stage Stop Rd, Summerset, South Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kinsey A Shultz Piatz attended and graduated from University Of North Dakota School Of Medicine in 2005
NPI Data:
- NPI Number: 1770598427
- Provider Enumeration Date: 07/30/2006
- Last Update Date: 08/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638178916
- Enrollment ID: I20180503001747
Medical Identifiers
Medical identifiers for Kinsey A Shultz Piatz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770598427 | NPI | - | NPPES |
| 0744748 | Medicaid | IA | |
| 1336127828 | Other | | GROUP NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 36783 (Iowa) | Primary |
| 207Q00000X | Family Medicine | 10907 (North Dakota) | Secondary |
Medical Facilities Affiliation
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. Kinsey A Shultz Piatz allows following entities to bill medicare on her behalf.
| Entity Name | Health Concepts Wellness Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295962033
PECOS PAC ID: 0648324418
Enrollment ID: O20090812000832 |
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| Entity Name | Black Hills Primary Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447877386
PECOS PAC ID: 8123443108
Enrollment ID: O20200807001543 |
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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. Kinsey A Shultz Piatz 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 |
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Kinsey A Shultz Piatz, MD
8075 Stage Stop Rd,
Summerset, SD 57718
Ph: (605) 719-7313 | Kinsey A Shultz Piatz, MD
8075 Stage Stop Rd,
Summerset, SD 57718
Ph: (605) 719-7313 |
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