Amy Wogen, RN, CNP in Plymouth, MN - Medicare Nurse Practitioner

Amy Wogen, RN, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Plymouth, Minnesota. Her current practice location is 12755 Highway 55, Mn009-s130, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (800) 896-8936.

Amy Wogen is licensed to practice in Maryland (license number 359780-23) 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 1316935760.

Contact Information

	Amy Wogen, RN, CNP
	12755 Highway 55, Mn009-s130, Plymouth, MN 55441-3837
	(800) 896-8936
	(888) 866-3209

Map and Direction

Provider's Profile

Full Name	Amy Wogen
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	12755 Highway 55, Plymouth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316935760
Provider Enumeration Date: 10/10/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1850340076
Enrollment ID: I20050114000272

Medical Identifiers

Medical identifiers for Amy Wogen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316935760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	359780-23 (Maryland)	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. Amy Wogen allows following entities to bill medicare on her behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Amy Wogen 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
Amy Wogen, RN, CNP 807 1st St, Princeton, MN 55371-1503 Ph: (763) 631-0270	Amy Wogen, RN, CNP 12755 Highway 55, Mn009-s130, Plymouth, MN 55441-3837 Ph: (800) 896-8936

Reviews and Comments

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Amy Wogen, RN, CNP - Medicare Nurse Practitioner in Plymouth, MN