Millicent Boa-amponsem, NURSE PRACTITIONER - Medicare Nurse Practitioner in Minneapolis, MN

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Millicent Boa-amponsem, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Minneapolis, Minnesota. She went to University Of Maryland School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cornerstone Montgomery Inc, Hennepin County and her current practice location is 2215 E Lake St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 596-9438.

Millicent Boa-amponsem is licensed to practice in Minnesota (license number 8696) 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 1659858769.

Contact Information

Millicent Boa-amponsem, NURSE PRACTITIONER
2215 E Lake St,
Minneapolis, MN 55407-4385
(612) 596-9438
(612) 329-4500

Map and Direction




Provider's Profile

Full NameMillicent Boa-amponsem
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location2215 E Lake St, 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:
  • Millicent Boa-amponsem attended and graduated from University Of Maryland School Of Medicine in 2018
  NPI Data:
  • NPI Number: 1659858769
  • Provider Enumeration Date: 07/20/2018
  • Last Update Date: 04/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658615570
  • Enrollment ID: I20181204002414

Medical Identifiers

Medical identifiers for Millicent Boa-amponsem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659858769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health R213614 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health R213614 (Maryland)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8696 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cornerstone Montgomery Inc397159175121
Hennepin County791189284989

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. Millicent Boa-amponsem allows following entities to bill medicare on her behalf.
Entity NameCornerstone Montgomery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194725739
PECOS PAC ID: 3971591751
Enrollment ID: O20040501000320
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891072286
PECOS PAC ID: 8921903147
Enrollment ID: O20130604000197

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. Millicent Boa-amponsem 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
Millicent Boa-amponsem, NURSE PRACTITIONER
2215 E Lake St,
Minneapolis, MN 55407-4385

Ph: (612) 596-9438		Millicent Boa-amponsem, NURSE PRACTITIONER
2215 E Lake St,
Minneapolis, MN 55407-4385

Ph: (612) 596-9438

Reviews and Comments


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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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