Benjamin Vincent Deitzen, APRN, FNP-C in Sandstone, MN

Benjamin Vincent Deitzen, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandstone, Minnesota. 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 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 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 Name	Benjamin Vincent Deitzen
Gender	Male
Speciality	Nurse Practitioner - Family
Location	705 Lundorff Dr, Sandstone, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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.

Identifier	Type	State	Issuer
1265153910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	9770 (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. Benjamin Vincent Deitzen allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	Pine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272

Entity Name	Essentia Health Moose Lake
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI 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 Address	Practice 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: Medicare Enrolled 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: Medicare Enrolled Practice Location: 501 Main St, Sandstone, MN 55072 Phone: 320-373-2323
Andrea Jean Hanson, FNP Nurse Practitioner Medicare: Medicare Enrolled 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

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