Khadra Mohamed, RN in Minneapolis, MN - Medicare Nurse Practitioner

Khadra Mohamed, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 323-0538.

Khadra Mohamed is licensed to practice in Minnesota (license number 10672) 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 1104276070.

Contact Information

	Khadra Mohamed, RN
	2450 Riverside Ave, Minneapolis, MN 55454-1450
	(612) 323-0538
	Not Available

Map and Direction

Provider's Profile

Full Name	Khadra Mohamed
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104276070
Provider Enumeration Date: 06/21/2016
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 4880046242
Enrollment ID: I20240122001894

Medical Identifiers

Medical identifiers for Khadra Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104276070	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10672 (Minnesota)	Primary
163WC1500X	Registered Nurse - Community Health	R-196969-0 (Minnesota)	Secondary

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. Khadra Mohamed 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	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. Khadra Mohamed 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
Khadra Mohamed, RN 2450 Riverside Ave., Minneapolis, MN 55454 Ph: (612) 323-0538	Khadra Mohamed, RN 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 323-0538

Reviews and Comments

Nurse Practitioner Nurses in Minneapolis, MN

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Mrs. Mary Susan Clipp, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-365-3100 Fax: 612-365-3110
Derek Przybylski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2525 Chicago Ave, Minneapolis, MN 55404 Phone: 715-207-9330
Dr. Kenneth Mcrae, DNP, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Chicago Ave, Minneapolis, MN 55407 Phone: 763-236-5000
Hannah L. Balfanz, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 814 South 3rd Street, Minneapolis, MN 55415 Phone: 612-888-9792

Khadra Mohamed, RN - Medicare Nurse Practitioner in Minneapolis, MN