Leslie A Nussbaum, MD is a medicare enrolled "Neurological Surgery" physician in Saint Louis Park, Minnesota. Her current practice location is
3901 W 25th St, Saint Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 374-0177.
Leslie A Nussbaum is licensed to practice in Minnesota (license number 40344) 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 1750358446.
Physician's Profile
Full Name | Leslie A Nussbaum |
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Gender | Female |
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Speciality | Neurological Surgery |
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Location | 3901 W 25th St, Saint Louis Park, 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: 1750358446
- Provider Enumeration Date: 03/02/2006
- Last Update Date: 03/27/2008
Medicare PECOS Information:
- PECOS PAC ID: 8628155660
- Enrollment ID: I20111221000805
Medical Identifiers
Medical identifiers for Leslie A Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750358446 | NPI | - | NPPES |
261S8SE | Other | MN | BCBS MN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 40344 (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. Leslie A Nussbaum allows following entities to bill medicare on her behalf.
Entity Name | Minnesota Neurovascular & Skull Base Surgery |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215059878 PECOS PAC ID: 6608818661 Enrollment ID: O20050531000913 |
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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. Leslie A Nussbaum 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 |
Leslie A Nussbaum, MD 3901 W 25th St, Saint Louis Park, MN 55416-3803 Ph: (612) 374-0177 | Leslie A Nussbaum, MD 3901 W 25th St, Saint Louis Park, MN 55416-3803 Ph: (612) 374-0177 |
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