Diane Kay Bohn, CNMW is a medicare enrolled "Advanced Practice Midwife" in Cass Lake, Minnesota. Her current practice location is
425 7th St Nw, Cass Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 335-3216.
Diane Kay Bohn is licensed to practice in Minnesota (license number 05414) 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 1700085958.
Provider's Profile
| Full Name | Diane Kay Bohn |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 425 7th St Nw, Cass Lake, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700085958
- Provider Enumeration Date: 07/17/2007
- Last Update Date: 07/19/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365490356
- Enrollment ID: I20050106000338
Medical Identifiers
Medical identifiers for Diane Kay Bohn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700085958 | NPI | - | NPPES |
| 519T0BO | Other | MN | BCBS |
| 8HC966 | Other | MN | MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367A00000X | Advanced Practice Midwife | 05414 (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. Diane Kay Bohn allows following entities to bill medicare on her behalf.
| Entity Name | Department Of Health & Human Services Phs Ihs |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194754382
PECOS PAC ID: 7517879794
Enrollment ID: O20031105000353 |
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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. Diane Kay Bohn 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 |
|---|
Diane Kay Bohn, CNMW
425 7th St Nw,
Cass Lake, MN 56633-3360
Ph: (218) 335-3216 | Diane Kay Bohn, CNMW
425 7th St Nw,
Cass Lake, MN 56633-3360
Ph: (218) 335-3216 |
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