Nimo Ali,, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Sauk Rapids, Minnesota. Her current practice location is
2 2nd Ave S Ste 35, Sauk Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 405-2154.
Nimo Ali, is licensed to practice in Minnesota (license number 28905) 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 1922700657.
Healthcare Provider's Profile
Full Name | Nimo Ali, |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2 2nd Ave S Ste 35, Sauk Rapids, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1922700657
- Provider Enumeration Date: 03/20/2023
- Last Update Date: 10/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800255738
- Enrollment ID: I20230710002358
Medical Identifiers
Medical identifiers for Nimo Ali, such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922700657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 28905 (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. Nimo Ali, allows following entities to bill medicare on her behalf.
Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Nimo Ali, 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 Address | Practice Location Address |
Nimo Ali,, MSW, LICSW 7635 148th St W Ste 236, Apple Valley, MN 55124-7800 Ph: (612) 405-2154 | Nimo Ali,, MSW, LICSW 2 2nd Ave S Ste 35, Sauk Rapids, MN 56379-1246 Ph: (612) 405-2154 |
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