Mark O'brien, in Plymouth, MN - Medicare Nurse Anesthetist, Certified Registered

Mark O'brien, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plymouth, Minnesota. His current practice location is 11505 39th Ave N, Plymouth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 751-7531.

Mark O'brien is licensed to practice in Minnesota (license number 238058-2) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124796545.

Contact Information

	Mark O'brien,
	11505 39th Ave N, Plymouth, MN 55441-1310
	(612) 751-7531
	Not Available

Map and Direction

Provider's Profile

Full Name	Mark O'brien
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	11505 39th Ave N, 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: 1124796545
Provider Enumeration Date: 08/31/2021
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4587021423
Enrollment ID: I20230607002631

Medical Identifiers

Medical identifiers for Mark O'brien such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124796545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	238058-2 (Minnesota)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	238058-2 (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. Mark O'brien allows following entities to bill medicare on his behalf.

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

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. Mark O'brien 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
Mark O'brien, 11505 39th Ave N, Plymouth, MN 55441-1310 Ph: (612) 751-7531	Mark O'brien, 11505 39th Ave N, Plymouth, MN 55441-1310 Ph: (612) 751-7531

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Plymouth, MN

Nickolas C Southwick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Jayne Eberhardt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000
Anna Spillers, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Peter Lawrence Sedlacek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2855 Campus Dr, Plymouth, MN 55441 Phone: 763-577-7000 Fax: 763-577-7130
Kathryn Marie Huber, SRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779 Fax: 763-450-3986
Dillon Joseph Dryja, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-852-0411
Rhoda Njeri Muiru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14700 28th Ave N Ste 20, Plymouth, MN 55447 Phone: 763-559-3779

Mark O'brien, - Medicare Nurse Anesthetist, Certified Registered in Plymouth, MN