Mohamed Omar, in Minneapolis, MN - Medicare Nurse Practitioner

Mohamed Omar, is a medicare enrolled "Nurse Practitioner - Family" in Minneapolis, Minnesota. His current practice location is 1516 E Lake St Ste 1512, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 345-4929.

Mohamed Omar is licensed to practice in Minnesota (license number 2466238) 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 1639881501.

Contact Information

	Mohamed Omar,
	1516 E Lake St Ste 1512, Minneapolis, MN 55407-1997
	(612) 345-4929
	Not Available

Map and Direction

Provider's Profile

Full Name	Mohamed Omar
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1516 E Lake St Ste 1512, 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: 1639881501
Provider Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022

Medicare PECOS Information:

PECOS PAC ID: 7517322167
Enrollment ID: I20230503002655

Medical Identifiers

Medical identifiers for Mohamed Omar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639881501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2466238 (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. Mohamed Omar allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549

Entity Name	Shifa Medical Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568160620 PECOS PAC ID: 5890150445 Enrollment ID: O20230503002546

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. Mohamed Omar 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
Mohamed Omar, 1516 E Lake St Ste 1512, Minneapolis, MN 55407-1997 Ph: (612) 345-4929	Mohamed Omar, 1516 E Lake St Ste 1512, Minneapolis, MN 55407-1997 Ph: (612) 345-4929

Reviews and Comments

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Mohamed Omar, - Medicare Nurse Practitioner in Minneapolis, MN