Mia Phan, NP-C in Minneapolis, MN - Medicare Nurse Practitioner

Mia Phan, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. Her current practice location is 500 Harvard St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-7422.

Mia Phan is licensed to practice in Minnesota (license number 6983) 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 1245761931.

Contact Information

	Mia Phan, NP-C
	500 Harvard St Se, Minneapolis, MN 55455-0363
	(612) 672-7422
	Not Available

Map and Direction

Provider's Profile

Full Name	Mia Phan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 Harvard St Se, 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: 1245761931
Provider Enumeration Date: 03/23/2017
Last Update Date: 01/08/2020

Medicare PECOS Information:

PECOS PAC ID: 0446525125
Enrollment ID: I20171005001402

Medical Identifiers

Medical identifiers for Mia Phan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245761931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6983 (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. Mia Phan allows following entities to bill medicare on her behalf.

Entity Name	Blackstone Valley Community Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063574135 PECOS PAC ID: 8628045762 Enrollment ID: O20040916000775

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. Mia Phan 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
Mia Phan, NP-C 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 Ph: () -	Mia Phan, NP-C 500 Harvard St Se, Minneapolis, MN 55455-0363 Ph: (612) 672-7422

Reviews and Comments

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Mia Phan, NP-C - Medicare Nurse Practitioner in Minneapolis, MN