Kelsey Kostreba, PA-C - Medicare Physician Assistant in Maple Grove, MN

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Kelsey Kostreba, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Maple Grove, Minnesota. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System, Specialists In General Surgery, Ltd and her current practice location is 9825 Hospital Dr Ste 105, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 780-6699.

Kelsey Kostreba is licensed to practice in Minnesota (license number 13172) 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 1033753546.

Contact Information

Kelsey Kostreba, PA-C
9825 Hospital Dr Ste 105,
Maple Grove, MN 55369-4769
(763) 780-6699
(763) 420-0500

Map and Direction




Provider's Profile

Full NameKelsey Kostreba
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location9825 Hospital Dr Ste 105, Maple Grove, 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:
  • Kelsey Kostreba graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1033753546
  • Provider Enumeration Date: 10/29/2019
  • Last Update Date: 11/19/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8527492065
  • Enrollment ID: I20191217000220

Medical Identifiers

Medical identifiers for Kelsey Kostreba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033753546NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 13172 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Maple Grove HospitalMaple grove, MNHospital
Buffalo HospitalBuffalo, MNHospital
North Memorial Health - Robbinsdale HospitalRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133844
Specialists In General Surgery, Ltd246641612817

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. Kelsey Kostreba allows following entities to bill medicare on her behalf.
Entity NameNorth Memorial Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameSpecialists in General Surgery, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780649665
PECOS PAC ID: 2466416128
Enrollment ID: O20041112001167
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Kelsey Kostreba 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
Kelsey Kostreba, PA-C
9825 Hospital Dr Ste 105,
Maple Grove, MN 55369-4769

Ph: (763) 780-6699		Kelsey Kostreba, PA-C
9825 Hospital Dr Ste 105,
Maple Grove, MN 55369-4769

Ph: (763) 780-6699

Reviews and Comments


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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.