Grace Nimat Khouri, MD is a medicare enrolled "General Practice" physician in Mankato, Minnesota. Her current practice location is
1230 E. Main Street, Mankato Clinic, Ltd, Mankato, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 625-1811.
Grace Nimat Khouri is licensed to practice in Minnesota (license number 30851) 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 1063489151.
Physician's Profile
Full Name | Grace Nimat Khouri |
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Gender | Female |
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Speciality | General Practice |
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Location | 1230 E. Main Street, Mankato, 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: 1063489151
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 09/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 6103826797
- Enrollment ID: I20070104000347
Medical Identifiers
Medical identifiers for Grace Nimat Khouri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063489151 | NPI | - | NPPES |
836385400 | Medicaid | MN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 30851 (Minnesota) | Secondary |
208D00000X | General Practice | 30851 (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. Grace Nimat Khouri allows following entities to bill medicare on her behalf.
Entity Name | American Current Care Of Minnesota Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548749286 PECOS PAC ID: 2163766973 Enrollment ID: O20181205002662 |
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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. Grace Nimat Khouri 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 |
Grace Nimat Khouri, MD Po Box 8674 1230 E. Main Street, Mankato Clinic Ltd, Mankato, MN 56002-8674 Ph: (507) 625-1811 | Grace Nimat Khouri, MD 1230 E. Main Street, Mankato Clinic, Ltd, Mankato, MN 56002-8674 Ph: (507) 625-1811 |
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