Wanda J Ethen, MD in Plymouth, MN - Medicare Internal Medicine

Wanda J Ethen, MD is a medicare enrolled "Internal Medicine" physician in Plymouth, Minnesota. She went to University Of North Dakota School Of Medicine and graduated in 1995 and has 29 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Healthpartners Medical Group and her current practice location is 4155 County Road 101 N, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8900.

Wanda J Ethen is licensed to practice in Missouri (license number 116865) 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 1154365393.

Contact Information

	Wanda J Ethen, MD
	4155 County Road 101 N, Plymouth, MN 55446-2307
	(952) 993-8900
	Not Available

Map and Direction

Physician's Profile

Full Name	Wanda J Ethen
Gender	Female
Speciality	Internal Medicine
Experience	29 Years
Location	4155 County Road 101 N, Plymouth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Wanda J Ethen attended and graduated from University Of North Dakota School Of Medicine in 1995

NPI Data:

NPI Number: 1154365393
Provider Enumeration Date: 06/16/2006
Last Update Date: 06/30/2016

Medicare PECOS Information:

PECOS PAC ID: 1658336177
Enrollment ID: I20130313000528

Medical Identifiers

Medical identifiers for Wanda J Ethen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154365393	NPI	-	NPPES
160026	Other		BCBS
P00223231	Other		RAILROAD MEDICARE
203793518	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	116865 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital	Coon rapids, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthpartners Medical Group	1759293954	1430

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. Wanda J Ethen allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Wanda J Ethen 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
Wanda J Ethen, MD 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: () -	Wanda J Ethen, MD 4155 County Road 101 N, Plymouth, MN 55446-2307 Ph: (952) 993-8900

Reviews and Comments

Internal Medicine Doctors in Plymouth, MN

Erica N. Roberson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N, #300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491
Dr. Thomas John Kaminsky, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491
Alfred P. Chiang, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Campus Dr, Suite 100, Plymouth, MN 55441 Phone: 763-519-0634 Fax: 763-519-0636
Mr. Bradley Daniel Chmielewski, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2800 Campus Dr Ste 10, Plymouth, MN 55441 Phone: 763-559-2171
Daniela T Ouzounova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2855 Campus Dr, Ste. 400, Plymouth, MN 55441 Phone: 763-577-7400
Stephanie Norris, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3007 Harbor Ln N, Plymouth, MN 55447 Phone: 952-993-8900
Dr. Daniel Mark Van Handel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 300, Plymouth, MN 55446 Phone: 612-871-1145 Fax: 612-870-5491

Wanda J Ethen, MD - Medicare Internal Medicine in Plymouth, MN