Kaitlyn Diane Brown, PA - Medicare Physician Assistant in Eagan, MN

Kaitlyn Diane Brown, PA is a medicare enrolled "Physician Assistant" in Eagan, Minnesota. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is Po Box 211699, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (866) 849-0692.

Kaitlyn Diane Brown is licensed to practice in Florida (license number PA9109756) 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 1780135855.

Contact Information

Kaitlyn Diane Brown, PA
Po Box 211699,
Eagan, MN 55121-3699
(866) 849-0692
Not Available

Map and Direction




Provider's Profile

Full NameKaitlyn Diane Brown
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
LocationPo Box 211699, Eagan, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaitlyn Diane Brown graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1780135855
  • Provider Enumeration Date: 10/24/2016
  • Last Update Date: 09/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7416207477
  • Enrollment ID: I20180912002601

Medical Identifiers

Medical identifiers for Kaitlyn Diane Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780135855NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085012538 (Illinois)Secondary
363A00000XPhysician Assistant 0110012238 (Virginia)Secondary
363A00000XPhysician Assistant PA9109756 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Conviva Medical Center Management, Llc4284717422507

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. Kaitlyn Diane Brown allows following entities to bill medicare on her behalf.
Entity NameConviva Medical Center Management, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415

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. Kaitlyn Diane Brown 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
Kaitlyn Diane Brown, PA
Po Box 211699,
Eagan, MN 55121-3699

Ph: (866) 849-0692
Kaitlyn Diane Brown, PA
Po Box 211699,
Eagan, MN 55121-3699

Ph: (866) 849-0692

Reviews and Comments


Physician Assistant Nurses in Eagan, MN

Kathryn Kempe O'morchoe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123
Phone: 612-871-1145    Fax: 612-870-5491
Mr. Jeffrey John Mohr, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1885 Plaza Dr, Eagan, MN 55122
Phone: 952-993-4001    Fax: 952-993-4095
Rebecca Hooper, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4241 Johnny Cake Ridge Rd, Eagan, MN 55122
Phone: 612-819-6886    
Mary Alivia Tolsma, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1885 Plaza Dr, Eagan, MN 55122
Phone: 952-993-4001    
Amanda Laatsch,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123
Phone: 612-871-1145    Fax: 612-870-5491
Mr. Daniel Eduardo Nucete, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Po Box 211699, Eagan, MN 55121
Phone: 866-849-0692    Fax: 888-973-8821
Rachel Lu Nguyen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 845 Vikings Pkwy Ste B, Eagan, MN 55121
Phone: 888-938-3838    Fax: 888-919-1083

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.