Dr Nathan Tseboh Chomilo, MD in Brooklyn Center, MN

Dr Nathan Tseboh Chomilo, MD is a medicare enrolled "Pediatrics" physician in Brooklyn Center, Minnesota. His current practice location is 6000 Earle Brown Dr, Pediatrics, Brooklyn Center, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-4909.

Dr Nathan Tseboh Chomilo is licensed to practice in Minnesota (license number 53869) 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 1063656593.

Contact Information

	Dr Nathan Tseboh Chomilo, MD
	6000 Earle Brown Dr, Pediatrics, Brooklyn Center, MN 55430-2506
	(952) 993-4909
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Nathan Tseboh Chomilo
Gender	Male
Speciality	Pediatrics
Location	6000 Earle Brown Dr, Brooklyn Center, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063656593
Provider Enumeration Date: 04/28/2009
Last Update Date: 08/06/2016

Medicare PECOS Information:

PECOS PAC ID: 1456527456
Enrollment ID: I20111221000566

Medical Identifiers

Medical identifiers for Dr Nathan Tseboh Chomilo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063656593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	53869 (Minnesota)	Primary
208M00000X	Hospitalist	53689 (Minnesota)	Secondary

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 Nathan Tseboh Chomilo allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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 Nathan Tseboh Chomilo 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
Dr Nathan Tseboh Chomilo, MD 6000 Earle Brown Dr, Pediatrics, Brooklyn Center, MN 55430-2506 Ph: (952) 993-4909	Dr Nathan Tseboh Chomilo, MD 6000 Earle Brown Dr, Pediatrics, Brooklyn Center, MN 55430-2506 Ph: (952) 993-4909

Reviews and Comments

Pediatrics Doctors in Brooklyn Center, MN

Dr. Bernadette S Coden-festin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Andrew Donald Peik, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Lauren Stennes, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6845 Lee Ave N, Brooklyn Center, MN 55429 Phone: 612-760-9259
Yelena K Jahnsen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6845 Lee Ave N, Mail Stop 31400a, Brooklyn Center, MN 55429 Phone: 763-569-0300 Fax: 763-569-0311
Garrett Michael Jones, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900
Chi B Huynh, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6000 Earle Brown Dr, Brooklyn Center, MN 55430 Phone: 952-993-4900 Fax: 952-993-4827

Dr Nathan Tseboh Chomilo, MD - Medicare Pediatrics in Brooklyn Center, MN