Ms Katherine Mazan, PT is a medicare enrolled "Physical Therapist" provider in Little Canada, Minnesota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Park Nicollet Clinic and her current practice location is
2800 Rice St Ste 159, Little Canada, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 330-2286.
Ms Katherine Mazan is licensed to practice in Minnesota (license number 10822) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1548796832.
Healthcare Provider's Profile
| Full Name | Ms Katherine Mazan |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 7 Years |
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| Location | 2800 Rice St Ste 159, Little Canada, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Katherine Mazan graduated from medical school in 2017
NPI Data:
- NPI Number: 1548796832
- Provider Enumeration Date: 05/04/2017
- Last Update Date: 03/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 5597019117
- Enrollment ID: I20181119001557
Medical Identifiers
Medical identifiers for Ms Katherine Mazan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548796832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225700000X | Massage Therapist | 227017598 (Illinois) | Secondary |
| 225100000X | Physical Therapist | 10822 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1530 |
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. Ms Katherine Mazan allows following entities to bill medicare on her behalf.
| Provider Name | Park Nicollet Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Ms Katherine Mazan 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 |
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Ms Katherine Mazan, PT
2443 Larpenteur Ave W,
Saint Paul, MN 55113-5234
Ph: () - | Ms Katherine Mazan, PT
2800 Rice St Ste 159,
Little Canada, MN 55113-2277
Ph: (651) 330-2286 |
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