Laura Woodbeck Moustafa, in Maple Grove, MN

Laura Woodbeck Moustafa, is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. Her current practice location is 12720 Bass Lake Rd, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 559-2861.

Laura Woodbeck Moustafa is licensed to practice in Minnesota (license number 61732) 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 1003236704.

Contact Information

	Laura Woodbeck Moustafa,
	12720 Bass Lake Rd, Maple Grove, MN 55369-6307
	(763) 559-2861
	Not Available

Map and Direction

Physician's Profile

Full Name	Laura Woodbeck Moustafa
Gender	Female
Speciality	Pediatrics
Location	12720 Bass Lake Rd, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003236704
Provider Enumeration Date: 04/21/2014
Last Update Date: 05/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2466750831
Enrollment ID: I20181029001401

Medical Identifiers

Medical identifiers for Laura Woodbeck Moustafa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003236704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	61732 (Minnesota)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Laura Woodbeck Moustafa allows following entities to bill medicare on her behalf.

Entity Name	Children's Clinic Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447529235 PECOS PAC ID: 5890949192 Enrollment ID: O20130214000538

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. Laura Woodbeck Moustafa 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
Laura Woodbeck Moustafa, 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 559-2861	Laura Woodbeck Moustafa, 12720 Bass Lake Rd, Maple Grove, MN 55369-6307 Ph: (763) 559-2861

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Laura Woodbeck Moustafa, - Medicare Pediatrics in Maple Grove, MN