Kassidy Hollis Barth, PA-C - Medicare Physician Assistant in Eden Prairie, MN

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Kassidy Hollis Barth, PA-C is a medicare enrolled "Physician Assistant" in Eden Prairie, Minnesota. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Orthopedics, Ltd and her current practice location is 11995 Singletree Ln Ste 325, Eden Prairie, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 968-5201.

Kassidy Hollis Barth is licensed to practice in NU (license number ) 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 1427701986.

Contact Information

Kassidy Hollis Barth, PA-C
11995 Singletree Ln Ste 325,
Eden Prairie, MN 55344-5347
(651) 968-5201
(651) 968-5903

Map and Direction




Provider's Profile

Full NameKassidy Hollis Barth
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location11995 Singletree Ln Ste 325, Eden Prairie, 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:
  • Kassidy Hollis Barth graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1427701986
  • Provider Enumeration Date: 02/03/2022
  • Last Update Date: 09/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1557757127
  • Enrollment ID: I20220407000481

Medical Identifiers

Medical identifiers for Kassidy Hollis Barth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427701986NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (NU)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Orthopedics, Ltd8921900374282

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. Kassidy Hollis Barth allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811077175
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHealtheast Woodwinds Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356309322
PECOS PAC ID: 9638082563
Enrollment ID: O20031107000110
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameHealtheast St John's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447218482
PECOS PAC ID: 9234035742
Enrollment ID: O20031208000320
Entity NameSummit Orthopedics, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306899463
PECOS PAC ID: 8921900374
Enrollment ID: O20040126000035
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Kassidy Hollis Barth 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
Kassidy Hollis Barth, PA-C
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: Not Available		Kassidy Hollis Barth, PA-C
11995 Singletree Ln Ste 325,
Eden Prairie, MN 55344-5347

Ph: (651) 968-5201

Reviews and Comments


Physician Assistant Nurses in Eden Prairie, MN

Kristine Lynn Felsman Freiling, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11995 Singletree Ln Ste 325, Eden Prairie, MN 55344
Phone: 651-968-5201    Fax: 651-968-5903
Gregory D Zike Sr., PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8966 Gould Rd, Eden Prairie, MN 55347
Phone: 605-610-5648    
David Floyd Winecoff, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 775 Prairie Center Dr, Suite 250, Eden Prairie, MN 55344
Phone: 952-944-2519    Fax: 952-944-0460
Mrs. Tiffany Alyse Hurt, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 11010 Prairie Lakes Dr, Suite 250, Eden Prairie, MN 55344
Phone: 952-746-2522    
Brianna Carolyn Wilder, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 830 Prairie Center Dr, Eden Prairie, MN 55344
Phone: 952-826-6500    
Victoria Jo Wacholz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 775 Prairie Center Dr Ste 400, Eden Prairie, MN 55344
Phone: 952-428-0300    
Samantha Anna Wloch, PHYSICIAN ASSISTANT
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7595 Anagram Dr, Eden Prairie, MN 55344
Phone: 612-573-2200    Fax: 612-573-2274

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.