Mr Mickey Amos, CNP in Minneapolis, MN - Medicare Nurse Practitioner

Mr Mickey Amos, CNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Minneapolis, Minnesota. His current practice location is 720 Washington Ave Se Ste 300, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 884-0649.

Mr Mickey Amos is licensed to practice in Minnesota (license number 9438) 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 1942929658.

Contact Information

	Mr Mickey Amos, CNP
	720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904
	(612) 884-0649
	(612) 676-8992

Map and Direction

Provider's Profile

Full Name	Mr Mickey Amos
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	720 Washington Ave Se Ste 300, 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: 1942929658
Provider Enumeration Date: 08/25/2022
Last Update Date: 01/03/2024

Medicare PECOS Information:

PECOS PAC ID: 2769868587
Enrollment ID: I20221003000932

Medical Identifiers

Medical identifiers for Mr Mickey Amos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942929658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	9438 (Minnesota)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	9438 (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 Mickey Amos allows following entities to bill medicare on his behalf.

Entity Name	University Of Minnesota Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477598118 PECOS PAC ID: 9830001189 Enrollment ID: O20031104000532

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	University Of Minnesota Health Clinics And Surgery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524

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 Mickey Amos 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 Mickey Amos, CNP 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 Ph: (612) 884-0649	Mr Mickey Amos, CNP 720 Washington Ave Se Ste 300, Minneapolis, MN 55414-2904 Ph: (612) 884-0649

Reviews and Comments

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Mr Mickey Amos, CNP - Medicare Nurse Practitioner in Minneapolis, MN