Kodjovi Dinyefan Kodjo, MD - Medicare Psychiatry in Coon Rapids, MN

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Kodjovi Dinyefan Kodjo, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Coon Rapids, Minnesota. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Centra Medical Group Llc, Sentara Medical Group, Wellmont Medical Associates Inc, Baycare Behavioral Health Associates, Llc, Geisinger Clinic, Nchmd Inc, Wellmont Medical Associates Inc, Allina Health System and his current practice location is 4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 262-1220.

Kodjovi Dinyefan Kodjo is licensed to practice in Minnesota (license number 73990) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780100958.

Contact Information

Kodjovi Dinyefan Kodjo, MD
4050 Coon Rapids Blvd Nw,
Coon Rapids, MN 55433-2522
(612) 262-1220
Not Available

Map and Direction




Physician's Profile

Full NameKodjovi Dinyefan Kodjo
GenderMale
SpecialityPsychiatry
Experience7 Years
Location4050 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kodjovi Dinyefan Kodjo graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1780100958
  • Provider Enumeration Date: 08/18/2017
  • Last Update Date: 03/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517203177
  • Enrollment ID: I20211227000984

Medical Identifiers

Medical identifiers for Kodjovi Dinyefan Kodjo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780100958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 65845 (Tennessee)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 91977 (Georgia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 0101268565 (Virginia)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry MD213412 (Oregon)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 73990 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Rmh Medical CenterHarrisonburg, VAHospital
Centra Health - Lynchburg Gen HospitalLynchburg, VAHospital
Naples Community HospitalNaples, FLHospital
Geisinger Medical CenterDanville, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centra Medical Group Llc4789606088603
Sentara Medical Group89219039231058
Wellmont Medical Associates Inc8123291739405
Baycare Behavioral Health Associates, Llc256762483681
Geisinger Clinic53956570012866
Nchmd Inc9436139565374
Wellmont Medical Associates Inc8123291739405
Allina Health System45875736133071

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. Kodjovi Dinyefan Kodjo allows following entities to bill medicare on his behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameMcv Associated Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710959457
PECOS PAC ID: 4385542117
Enrollment ID: O20031230000559
Entity NameRiverside Physician Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194929026
PECOS PAC ID: 5092608448
Enrollment ID: O20040207000400
Entity NameCmh Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194760645
PECOS PAC ID: 3779551445
Enrollment ID: O20040921000171
Entity NameCentra Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147
Entity NameUva Community Health Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023483567
PECOS PAC ID: 4688587967
Enrollment ID: O20110311000151
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174808216
PECOS PAC ID: 8123291739
Enrollment ID: O20120627000467
Entity NameFloyd Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992814586
PECOS PAC ID: 6406852375
Enrollment ID: O20220608001975

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. Kodjovi Dinyefan Kodjo 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
Kodjovi Dinyefan Kodjo, MD
1021 W Oakland Ave Ste 310,
Johnson City, TN 37604-2192

Ph: (423) 302-6565		Kodjovi Dinyefan Kodjo, MD
4050 Coon Rapids Blvd Nw,
Coon Rapids, MN 55433-2522

Ph: (612) 262-1220

Reviews and Comments


Psychiatry & Neurology Doctors in Coon Rapids, MN

Dr. Suzanne T Witterholt, MD
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Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
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Jayasri Alapati, MD
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Dr. Allan Phillip Ingenito, M.D.
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Mark D Miceli, M.D.
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Dr. Jaehoon Cho, M.D.
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Dr. Shilpa Mikkilineni, M.D.
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Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Dr. Moeen Ahmad Masood, M.B., B.S.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3833 Coon Rapids Blvd Nw, Suite 100, Coon Rapids, MN 55433
Phone: 763-427-8320    Fax: 763-302-4338

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.