Tristan Pennella, DO - Medicare Family Medicine in Excelsior, MN

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Tristan Pennella, DO is a medicare enrolled "Family Medicine" physician in Excelsior, Minnesota. His current practice location is 675 Water St, Excelsior, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 906-7855.

Tristan Pennella is licensed to practice in Minnesota (license number 73409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356923361.

Contact Information

Tristan Pennella, DO
675 Water St,
Excelsior, MN 55331-3158
(952) 906-7855
Not Available

Map and Direction




Physician's Profile

Full NameTristan Pennella
GenderMale
SpecialityFamily Medicine
Location675 Water St, Excelsior, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356923361
  • Provider Enumeration Date: 04/28/2021
  • Last Update Date: 01/06/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4385043991
  • Enrollment ID: I20241008001110

Medical Identifiers

Medical identifiers for Tristan Pennella such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356923361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 73409 (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. Tristan Pennella allows following entities to bill medicare on his behalf.
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183
Entity NameMinnesota Valley Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730248907
PECOS PAC ID: 9032006507
Enrollment ID: O20040301000309
Entity NameSibley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740240225
PECOS PAC ID: 3870722499
Enrollment ID: O20140418000315

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. Tristan Pennella 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
Tristan Pennella, DO
675 Water St,
Excelsior, MN 55331-3158

Ph: (952) 906-7855		Tristan Pennella, DO
675 Water St,
Excelsior, MN 55331-3158

Ph: (952) 906-7855

Reviews and Comments


Family Medicine Doctors in Excelsior, MN

Elizabeth Lynn Kennedy, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 675 Water St, Excelsior, MN 55331
Phone: 952-906-7855    
Dr. Lucy Kurtz Eikevik,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 675 Water St, Excelsior, MN 55331
Phone: 952-906-7855    
Joshua Scheck,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19685 Highway 7, Excelsior, MN 55331
Phone: 952-993-4350    
Dr. Hilary M Hammell, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 19685 Highway 7, Excelsior, MN 55331
Phone: 952-999-3290    Fax: 952-993-2940
Swarna Erramreddi Latha, M.D
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 675 Water St, Excelsior, MN 55331
Phone: 952-474-4167    Fax: 952-474-5700
Michael T Schulenberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 675 Water St, Excelsior, MN 55331
Phone: 952-906-7855    Fax: 952-470-4523

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.