Dr Jeffrey Donald Kendall, MD - Medicare Obstetrics/gynecology in Shakopee, MN

Dr Jeffrey Donald Kendall, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Shakopee, Minnesota. He went to University Of Minnesota Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Park Nicollet Clinic and his current practice location is 1515 Saint Francis Ave, Shakopee, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-7672.

Dr Jeffrey Donald Kendall is licensed to practice in Minnesota (license number 61095) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750644589.

Contact Information

Dr Jeffrey Donald Kendall, MD
1515 Saint Francis Ave,
Shakopee, MN 55379-3387
(952) 993-7672
Not Available



Physician's Profile

Full NameDr Jeffrey Donald Kendall
GenderMale
SpecialityObstetrics/gynecology
Experience12 Years
Location1515 Saint Francis Ave, Shakopee, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jeffrey Donald Kendall attended and graduated from University Of Minnesota Medical School in 2012
  NPI Data:
  • NPI Number: 1750644589
  • Provider Enumeration Date: 06/18/2012
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062641665
  • Enrollment ID: I20160907002178

Medical Identifiers

Medical identifiers for Dr Jeffrey Donald Kendall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750644589NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 4301100885 (Michigan)Secondary
207V00000XObstetrics & Gynecology 61095 (Minnesota)Primary
207V00000XObstetrics & Gynecology 2020-04559 (North Carolina)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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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. Dr Jeffrey Donald Kendall allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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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. Dr Jeffrey Donald Kendall 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
Dr Jeffrey Donald Kendall, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Dr Jeffrey Donald Kendall, MD
1515 Saint Francis Ave,
Shakopee, MN 55379-3387

Ph: (952) 993-7672

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Obstetrics & Gynecology Doctors in Shakopee, MN

Ann M. O'donnell, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    Fax: 952-993-7835
Susan Torkelson,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Saint Francis Ave, Suite 200, Shakopee, MN 55379
Phone: 952-993-7750    
Evan Jones Griffiths, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Saint Francis Ave, Ste 100, Shakopee, MN 55379
Phone: 952-428-3535    Fax: 952-428-3599
David A. Druckman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7792    
Rachael Summers,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-7750    
Dr. Ashley Maria Hieronimus, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1515 Saint Francis Ave, Shakopee, MN 55379
Phone: 952-993-3282    Fax: 952-993-7813

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