Dr Mary D Mackenburg Mohn, NP - Medicare Nurse Practitioner in Minneapolis, MN

Dr Mary D Mackenburg Mohn, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Minneapolis, Minnesota. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dispatchhealth-florida Inc., St Andrews Hospital, Cavalier County Memorial Hospital Association and her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (126) 726-0006.

Dr Mary D Mackenburg Mohn is licensed to practice in Minnesota (license number 2472) 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 1073690012.

Contact Information

Dr Mary D Mackenburg Mohn, NP
2450 Riverside Ave,
Minneapolis, MN 55454-1450
(126) 726-0006
Not Available

Map and Direction




Provider's Profile

Full NameDr Mary D Mackenburg Mohn
GenderFemale
SpecialityNurse Practitioner
Experience30 Years
Location2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mary D Mackenburg Mohn graduated from nursing school in 1994
  NPI Data:
  • NPI Number: 1073690012
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 06/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3577716158
  • Enrollment ID: I20230616001220

Medical Identifiers

Medical identifiers for Dr Mary D Mackenburg Mohn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073690012NPI-NPPES
878708200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner R0933245 (Minnesota)Secondary
363L00000XNurse Practitioner 0991736 (Colorado)Secondary
363LA2100XNurse Practitioner - Acute Care 0991736 (Colorado)Secondary
363LP0200XNurse Practitioner - Pediatrics R0933245 (Minnesota)Secondary
363LP2300XNurse Practitioner - Primary Care R0933245 (Minnesota)Secondary
363LG0600XNurse Practitioner - Gerontology 2472 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Andrew's HospitalBottineau, NDHospital
Cape Coral HospitalCape coral, FLHospital
Cavalier County Memorial Hospital AssociationLangdon, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dispatchhealth-florida Inc.266889922055
St Andrews Hospital488050599914
Cavalier County Memorial Hospital Association509262352014

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. Dr Mary D Mackenburg Mohn allows following entities to bill medicare on her behalf.
Entity NameDispatchhealth-florida Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407472723
PECOS PAC ID: 2668899220
Enrollment ID: O20200827000623

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. Dr Mary D Mackenburg Mohn 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 AddressPractice Location Address
Dr Mary D Mackenburg Mohn, NP
2910 Centre Pointe Drive, 35121a Childrens Health Care,
Roseville, MN 55113

Ph: (651) 855-2327
Dr Mary D Mackenburg Mohn, NP
2450 Riverside Ave,
Minneapolis, MN 55454-1450

Ph: (126) 726-0006

Reviews and Comments


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Phone: 612-365-3100    Fax: 612-365-3110
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Phone: 612-888-9792    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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