Mary Elizabeth Amundson, APRN, CNP is a medicare enrolled "Pediatrics" in Saint Cloud, Minnesota. Her current practice location is
1406 6th Ave N, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 251-2700.
Mary Elizabeth Amundson is licensed to practice in Minnesota (license number 8600) 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 1003439241.
Provider's Profile
Full Name | Mary Elizabeth Amundson |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 1406 6th Ave N, Saint Cloud, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003439241
- Provider Enumeration Date: 05/22/2020
- Last Update Date: 11/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890185243
- Enrollment ID: I20211130000261
Medical Identifiers
Medical identifiers for Mary Elizabeth Amundson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003439241 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0200X | Registered Nurse - Pediatrics | 2284442 (Minnesota) | Secondary |
208000000X | Pediatrics | 8600 (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. Mary Elizabeth Amundson allows following entities to bill medicare on her behalf.
Entity Name | Centracare Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
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Entity Name | Fairview Express Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
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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. Mary Elizabeth Amundson 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 |
Mary Elizabeth Amundson, APRN, CNP 3330 Old Stone Way Ne, Sauk Rapids, MN 56379-4569 Ph: (320) 420-4421 | Mary Elizabeth Amundson, APRN, CNP 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 251-2700 |
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