Cassandra Pretty Moon Rendon, MD - Medicare Pediatrics in Bemidji, MN

Cassandra Pretty Moon Rendon, MD is a medicare enrolled "Pediatrics" physician in Bemidji, Minnesota. Her current practice location is 1611 Anne St Nw, Bemidji, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 333-5000.

Cassandra Pretty Moon Rendon is licensed to practice in Minnesota (license number 70180) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1568956183.

Contact Information

Cassandra Pretty Moon Rendon, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114
(218) 333-5000
Not Available



Physician's Profile

Full NameCassandra Pretty Moon Rendon
GenderFemale
SpecialityPediatrics
Location1611 Anne St Nw, Bemidji, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568956183
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941623706
  • Enrollment ID: I20220324000606

Medical Identifiers

Medical identifiers for Cassandra Pretty Moon Rendon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568956183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 70180 (Minnesota)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Cassandra Pretty Moon Rendon allows following entities to bill medicare on her behalf.
Entity NameSanford Health Of Northern Minnesota
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770849697
PECOS PAC ID: 5597725168
Enrollment ID: O20041025000442

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› Verified 7 days ago

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. Cassandra Pretty Moon Rendon 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
Cassandra Pretty Moon Rendon, MD
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: (605) 328-6585
Cassandra Pretty Moon Rendon, MD
1611 Anne St Nw,
Bemidji, MN 56601-5114

Ph: (218) 333-5000

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Pediatrics Doctors in Bemidji, MN

Dr. Lilian Li Lian Wong, M.D
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-5000    
William L Bock, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-4731    
Natalie Zabezhinsky, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-5000    
Dr. Ashley Marie Huerd, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1611 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-5000    
Dr. Theresa Lyn Hamel, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 915 Lake Blvd Ne, Bemidji, MN 56601
Phone: 828-231-7742    
Dr. Romie Andrea Mendoza Tinsay, MD, FAAP
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1300 Anne St Nw, Bemidji, MN 56601
Phone: 218-333-5000    

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