Peter E Dyrud, - Medicare Thoracic Surgery (Cardiothoracic Vascular Surgery) in St Louis Park, MN

Peter E Dyrud, is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in St Louis Park, Minnesota. His current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3246.

Peter E Dyrud is licensed to practice in Minnesota (license number 28696) 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 1831174382.

Contact Information

Peter E Dyrud,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 993-3246
Not Available



Physician's Profile

Full NamePeter E Dyrud
GenderMale
SpecialityThoracic Surgery (cardiothoracic Vascular Surgery)
Location6500 Excelsior Blvd, St 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: 1831174382
  • Provider Enumeration Date: 12/07/2005
  • Last Update Date: 07/03/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6406990944
  • Enrollment ID: I20100222000188

Medical Identifiers

Medical identifiers for Peter E Dyrud such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831174382NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 28696 (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. Peter E Dyrud 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. Peter E Dyrud 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
Peter E Dyrud,
6465 Wayzata Blvd, Suite 315,
St Louis Park, MN 55426-1728

Ph: () -
Peter E Dyrud,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-3246

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Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in St Louis Park, MN

Bernard Harrison, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    
Dr. Christopher Timothy Holley, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    
Dr. Andrew Philip Rabenstein, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3246    
Ramoncito A David,
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-3010    

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