Evan L Domeyer, DO - Medicare Internal Medicine in Coon Rapids, MN

Evan L Domeyer, DO is a medicare enrolled "Internal Medicine" physician in Coon Rapids, Minnesota. He went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 1999 and has 25 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Allina Health System and his current practice location is 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 236-9400.

Evan L Domeyer is licensed to practice in Minnesota (license number 44533) 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 1033178538.

Contact Information

Evan L Domeyer, DO
3960 Coon Rapids Blvd Nw, 100,
Coon Rapids, MN 55433-2569
(763) 236-9400
(763) 236-9423



Physician's Profile

Full NameEvan L Domeyer
GenderMale
SpecialityInternal Medicine
Experience25 Years
Location3960 Coon Rapids Blvd Nw, Coon Rapids, 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:
  • Evan L Domeyer attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 1999
  NPI Data:
  • NPI Number: 1033178538
  • Provider Enumeration Date: 03/22/2006
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5698769792
  • Enrollment ID: I20040412001469

Medical Identifiers

Medical identifiers for Evan L Domeyer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033178538NPI-NPPES
315794600MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 44533 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy HospitalCoon rapids, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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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. Evan L Domeyer allows following entities to bill medicare on his behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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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. Evan L Domeyer 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
Evan L Domeyer, DO
Po Box 43, Mr 10809,
Minneapolis, MN 55440-0043

Ph: (612) 262-4813
Evan L Domeyer, DO
3960 Coon Rapids Blvd Nw, 100,
Coon Rapids, MN 55433-2569

Ph: (763) 236-9400

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Internal Medicine Doctors in Coon Rapids, MN

Dr. Jaya Bhattarai, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-236-6000    
Zongyu J Chen, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9145 Springbrook Dr, #200, Coon Rapids, MN 55433
Phone: 612-871-1145    Fax: 612-870-5491
Amber Galarowicz,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433
Phone: 763-236-6000    
Natalia Yazigi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    
Linda Benjamin Soucie, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3960 Coon Rapids Blvd Nw, 100, Coon Rapids, MN 55433
Phone: 763-236-9400    Fax: 763-236-9423
Wendoly R Slattery, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433
Phone: 763-780-9155    

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