Katelyn Jo Dahedl, is a medicare enrolled "Physician Assistant" in Red Lake, Minnesota. She graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Phs Indian Hospital and her current practice location is
24760 Hospital Drive, Red Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 679-3912.
Katelyn Jo Dahedl is licensed to practice in * (Not Available) (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 1518587393.
Provider's Profile
| Full Name | Katelyn Jo Dahedl |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 24760 Hospital Drive, Red Lake, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelyn Jo Dahedl graduated from nursing school in 2020
NPI Data:
- NPI Number: 1518587393
- Provider Enumeration Date: 04/21/2020
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547663791
- Enrollment ID: I20210726001002
Medical Identifiers
Medical identifiers for Katelyn Jo Dahedl such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518587393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Phs Indian Hospital | 4789598731 | 22 |
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. Katelyn Jo Dahedl 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 |
|---|
Katelyn Jo Dahedl,
Po Box 497,
Redlake, MN 56671-0497
Ph: (218) 679-3912 | Katelyn Jo Dahedl,
24760 Hospital Drive,
Red Lake, MN 56671
Ph: (218) 679-3912 |
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