Mary C Homan, MD is a medicare enrolled "Family Medicine" physician in Rosemount, Minnesota. Her current practice location is
15075 Cimarron Ave, Rosemount, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 322-8800.
Mary C Homan is licensed to practice in Minnesota (license number 30458) 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 1467419473.
Physician's Profile
Full Name | Mary C Homan |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 15075 Cimarron Ave, Rosemount, 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: 1467419473
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 09/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 5395658702
- Enrollment ID: I20031111000706
Medical Identifiers
Medical identifiers for Mary C Homan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467419473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 30458 (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. Mary C Homan allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
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Entity Name | Healtheast Medical Research Institute |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
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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. Mary C Homan 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 |
Mary C Homan, MD 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 | Mary C Homan, MD 15075 Cimarron Ave, Rosemount, MN 55068-1635 Ph: (651) 322-8800 |
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