Benjamin Vincent Deitzen, APRN, FNP-C - Medicare Nurse Practitioner in Sandstone, MN

Benjamin Vincent Deitzen, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandstone, Minnesota. He graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Duluth Clinic Ltd, St Marys Hospital Of Superior and his current practice location is 705 Lundorff Dr, Sandstone, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 245-2211.

Benjamin Vincent Deitzen is licensed to practice in Minnesota (license number 9770) 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 1265153910.

Contact Information

Benjamin Vincent Deitzen, APRN, FNP-C
705 Lundorff Dr,
Sandstone, MN 55072-5099
(320) 245-2211
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Vincent Deitzen
GenderMale
SpecialityNurse Practitioner
Experience3 Years
Location705 Lundorff Dr, Sandstone, 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:
  • Benjamin Vincent Deitzen graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1265153910
  • Provider Enumeration Date: 09/09/2022
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345610994
  • Enrollment ID: I20221223001055

Medical Identifiers

Medical identifiers for Benjamin Vincent Deitzen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265153910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 9770 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Hospital SuperiorSuperior, WIHospital
Memorial Medical CenterAshland, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Duluth Clinic Ltd2567374283957
St Marys Hospital Of Superior862896422875

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. Benjamin Vincent Deitzen allows following entities to bill medicare on his behalf.
Entity NameThe Duluth Clinic Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229
Entity NamePine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326041633
PECOS PAC ID: 3870406945
Enrollment ID: O20031106000272
Entity NameEssentia Health Moose Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154959880
PECOS PAC ID: 6608290333
Enrollment ID: O20200730001548

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. Benjamin Vincent Deitzen 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
Benjamin Vincent Deitzen, APRN, FNP-C
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (269) 209-6110
Benjamin Vincent Deitzen, APRN, FNP-C
705 Lundorff Dr,
Sandstone, MN 55072-5099

Ph: (320) 245-2211

Reviews and Comments


Nurse Practitioner Nurses in Sandstone, MN

Christy Leah Melzark, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072
Phone: 320-245-2250    Fax: 320-245-2555
Shelly Anne Kuhlmann, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Main St, Sandstone, MN 55072
Phone: 320-373-2323    
Andrea Jean Hanson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Main St, Sandstone, MN 55072
Phone: 320-372-2323    
Sambath Cheath, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 707 Lundorff Dr Ste 1, Sandstone, MN 55072
Phone: 320-245-2250    Fax: 320-245-2555
Heidi Jolene Voss,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2300 County Road 29, Sandstone, MN 55072
Phone: 320-245-6230    
Dr. Naomi Koenig, APRN,FNP-C, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 501 Main Street, Sandstone, MN 55072
Phone: 320-372-2323    

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.