Keith Thomas Wenda, MD - Medicare Obstetrics & Gynecology in Fridley, MN

Keith Thomas Wenda, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fridley, Minnesota. His current practice location is 500 Osborne Rd Ne, Suite 255, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 786-6011.

Keith Thomas Wenda is licensed to practice in Minnesota (license number 34988) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861452740.

Contact Information

Keith Thomas Wenda, MD
500 Osborne Rd Ne, Suite 255,
Fridley, MN 55432-2765
(763) 786-6011
Not Available



Physician's Profile

Full NameKeith Thomas Wenda
GenderMale
SpecialityObstetrics & Gynecology
Location500 Osborne Rd Ne, Fridley, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861452740
  • Provider Enumeration Date: 03/24/2006
  • Last Update Date: 10/10/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2365634409
  • Enrollment ID: I20101007001398

Medical Identifiers

Medical identifiers for Keith Thomas Wenda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861452740NPI-NPPES
769063100MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 34988 (Minnesota)Primary

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. Keith Thomas Wenda 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. Keith Thomas Wenda 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
Keith Thomas Wenda, MD
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-5000
Keith Thomas Wenda, MD
500 Osborne Rd Ne, Suite 255,
Fridley, MN 55432-2765

Ph: (763) 786-6011

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Obstetrics & Gynecology Doctors in Fridley, MN

Lisa R Mattson, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432
Phone: 763-236-2500    Fax: 763-236-2505
Mary Zygmunt, DO
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Osborne Rd Ne, Fridley, MN 55432
Phone: 763-786-6011    
Lex Lawson, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432
Phone: 763-236-2500    Fax: 763-236-2505
Donald A Pavelka, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 500 Osborne Rd Ne, Suite 260, Fridley, MN 55432
Phone: 763-783-8155    Fax: 763-783-1373
Dr. Nicholas W Hamel, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Osborne Rd Ne, Suite 255, Fridley, MN 55432
Phone: 763-786-6011    
Dr. Cecil Emerson Bassett, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 6401 University Ave Ne, Fridley, MN 55432
Phone: 763-572-5710    Fax: 763-586-5963
Cheryl Lynn Cody Deets, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 500 Osborne Rd Ne, Suite 150, Fridley, MN 55432
Phone: 763-236-2500    Fax: 763-236-2795

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