Dame Idossa, MD in Minneapolis, MN - Medicare Internal Medicine

Dame Idossa, MD is a medicare enrolled "Internal Medicine - Medical Oncology" physician in Minneapolis, Minnesota. Her current practice location is 420 Delaware Street Se, Mmc 480, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 625-6919.

Dame Idossa is licensed to practice in Minnesota (license number 62547) 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 1538523121.

Contact Information

	Dame Idossa, MD
	420 Delaware Street Se, Mmc 480, Minneapolis, MN 55455
	(612) 625-6919
	Not Available

Map and Direction

Physician's Profile

Full Name	Dame Idossa
Gender	Female
Speciality	Internal Medicine - Medical Oncology
Location	420 Delaware Street Se, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538523121
Provider Enumeration Date: 04/08/2016
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 9830481878
Enrollment ID: I20170815000546

Medical Identifiers

Medical identifiers for Dame Idossa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538523121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	1538523121 (Minnesota)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	161230 (California)	Secondary
207RX0202X	Internal Medicine - Medical Oncology	62547 (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. Dame Idossa allows following entities to bill medicare on her behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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. Dame Idossa 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
Dame Idossa, MD 420 Delaware Street Se, Mmc 480, Minneapolis, MN 55455 Ph: () -	Dame Idossa, MD 420 Delaware Street Se, Mmc 480, Minneapolis, MN 55455 Ph: (612) 625-6919

Reviews and Comments

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Dame Idossa, MD - Medicare Internal Medicine in Minneapolis, MN