Katherine K Schroeder, PA - Medicare Physician Assistant in Saint Louis Park, MN

Katherine K Schroeder, PA is a medicare enrolled "Physician Assistant - Medical" physician in Saint Louis Park, Minnesota. Her current practice location is 5821 Cedar Lake Rd S Ste 203, Saint Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 293-0352.

Katherine K Schroeder is licensed to practice in Minnesota (license number 11282) 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 1215267927.

Contact Information

Katherine K Schroeder, PA
5821 Cedar Lake Rd S Ste 203,
Saint Louis Park, MN 55416-1487
(612) 293-0352
Not Available



Physician's Profile

Full NameKatherine K Schroeder
GenderFemale
SpecialityPhysician Assistant - Medical
Location5821 Cedar Lake Rd S Ste 203, Saint Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215267927
  • Provider Enumeration Date: 12/31/2009
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022152891
  • Enrollment ID: I20130326000529

Medical Identifiers

Medical identifiers for Katherine K Schroeder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215267927NPI-NPPES
11282OtherMNSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0015XPsychiatry & Neurology - Psychosomatic Medicine 11282 (Minnesota)Secondary
364SF0001XClinical Nurse Specialist - Family Health 11282 (Minnesota)Secondary
364SH1100XClinical Nurse Specialist - Holistic 11282 (Minnesota)Secondary
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 11282 (Minnesota)Secondary
363AM0700XPhysician Assistant - Medical 11282 (Minnesota)Primary

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. Katherine K Schroeder 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
Katherine K Schroeder, PA
5821 Cedar Lake Rd S Ste 203,
Saint Louis Park, MN 55416-1487

Ph: (612) 293-0352
Katherine K Schroeder, PA
5821 Cedar Lake Rd S Ste 203,
Saint Louis Park, MN 55416-1487

Ph: (612) 293-0352

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