Dr Laura Michelle Furda-raine, MD is a medicare enrolled "Dermatology" physician in St. Louis Park, Minnesota. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Park Nicollet Clinic and her current practice location is
3800 Park Nicollet Blvd Park Nicollet Clinic, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 993-3260.
Dr Laura Michelle Furda-raine is licensed to practice in Minnesota (license number 56316) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912147075.
Physician's Profile
| Full Name | Dr Laura Michelle Furda-raine |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 16 Years |
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| Location | 3800 Park Nicollet Blvd Park Nicollet Clinic, St. Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Laura Michelle Furda-raine graduated from medical school in 2008
NPI Data:
- NPI Number: 1912147075
- Provider Enumeration Date: 03/03/2009
- Last Update Date: 06/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 8224262688
- Enrollment ID: I20131018000206
Medical Identifiers
Medical identifiers for Dr Laura Michelle Furda-raine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912147075 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 56316 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Park Nicollet Clinic | 7911819438 | 1530 |
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. Dr Laura Michelle Furda-raine allows following entities to bill medicare on her behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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. Dr Laura Michelle Furda-raine 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 |
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Dr Laura Michelle Furda-raine, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Dr Laura Michelle Furda-raine, MD
3800 Park Nicollet Blvd Park Nicollet Clinic,
St. Louis Park, MN 55416
Ph: (952) 993-3260 |
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