Mr Abolfazl Kowsari, CNP in Maple Grove, MN - Medicare Nurse Practitioner

Mr Abolfazl Kowsari, CNP is a medicare enrolled "Nurse Practitioner - Family" in Maple Grove, Minnesota. His current practice location is 9512 Pineview Ln N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 923-5608.

Mr Abolfazl Kowsari is licensed to practice in Minnesota (license number 6617) 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 1073172003.

Contact Information

	Mr Abolfazl Kowsari, CNP
	9512 Pineview Ln N, Maple Grove, MN 55369-7135
	(763) 923-5608
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Abolfazl Kowsari
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9512 Pineview Ln N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073172003
Provider Enumeration Date: 06/12/2019
Last Update Date: 06/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9931584562
Enrollment ID: I20220919002244

Medical Identifiers

Medical identifiers for Mr Abolfazl Kowsari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073172003	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	6617 (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. Mr Abolfazl Kowsari allows following entities to bill medicare on his behalf.

Entity Name	Integrated Wound Care Minnesota Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205390457 PECOS PAC ID: 2769722511 Enrollment ID: O20190314001268

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. Mr Abolfazl Kowsari 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
Mr Abolfazl Kowsari, CNP 9512 Pineview Ln N, Maple Grove, MN 55369-7135 Ph: (763) 923-5608	Mr Abolfazl Kowsari, CNP 9512 Pineview Ln N, Maple Grove, MN 55369-7135 Ph: (763) 923-5608

Reviews and Comments

Nurse Practitioner Nurses in Maple Grove, MN

Gregory Njora Kariuki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 763-712-2100
Kayla Joyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 Phone: 763-302-4114
Rhonda Marie Wolfe, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 866-389-2727
Kalie R Mccauley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 612-244-5325
Pennelope H Fearing, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9550 Upland Ln N Ste 100, Maple Grove, MN 55369 Phone: 763-772-9820 Fax: 763-537-6666
Jill E Gauger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7368 Kirkwood Ct N, Maple Grove, MN 55369 Phone: 763-416-2280

Mr Abolfazl Kowsari, CNP - Medicare Nurse Practitioner in Maple Grove, MN