Dr Hannah Moussa Vines, MD is a
Psychiatry & Neurology - Psychiatry physician based in Ponemah, Minnesota. Dr Hannah Moussa Vines is licensed to practice in Minnesota (license number 76111) and her current practice location is 27190 North Shore Rd, Ponemah, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 679-1160.
NPI number for Dr Hannah Moussa Vines is 1033324306 and her current mailing address is 27190 North Shore Rd, Ponemah, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033324306.
Physician's Profile
| Full Name | Dr Hannah Moussa Vines |
|---|
| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 27190 North Shore Rd, Ponemah, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033324306
- Provider Enumeration Date: 05/11/2007
- Last Update Date: 06/14/2024
Medical Identifiers
Medical identifiers for Dr Hannah Moussa Vines such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033324306 | NPI | - | NPPES |
| 16158199 | Other | TX | TEXAS DRIVERS LICENSE |
| D000-131-670-900 | Other | MN | MINNESOTA DRIVERS LICENSE |
| 530763090 | Other | | US PASSPORT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 76111 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | BP10025329 (Texas) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | N0297 (Texas) | Secondary |
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 Hannah Moussa Vines is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Hannah Moussa Vines, MD
27190 North Shore Rd,
Ponemah, MN 56666-3338
Ph: (218) 679-1160 | Dr Hannah Moussa Vines, MD
27190 North Shore Rd,
Ponemah, MN 56666
Ph: (218) 679-1160 |
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