Mai Nou Thao, in Maplewood, MN - Medicare Nurse Practitioner

Mai Nou Thao, is a medicare enrolled "Nurse Practitioner - Family" in Maplewood, Minnesota. Her current practice location is 2196 White Bear Ave N, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 702-0233.

Mai Nou Thao is licensed to practice in Minnesota (license number 9963) 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 1598151367.

Contact Information

	Mai Nou Thao,
	2196 White Bear Ave N, Maplewood, MN 55109-2708
	(651) 702-0233
	Not Available

Map and Direction

Provider's Profile

Full Name	Mai Nou Thao
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2196 White Bear Ave N, Maplewood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598151367
Provider Enumeration Date: 04/08/2015
Last Update Date: 02/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5092189720
Enrollment ID: I20230322000176

Medical Identifiers

Medical identifiers for Mai Nou Thao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598151367	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R2107613 (Minnesota)	Secondary
163WH0200X	Registered Nurse - Home Health	R2107613 (Minnesota)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	9963 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	9963 (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. Mai Nou Thao allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184

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. Mai Nou Thao 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
Mai Nou Thao, 2196 White Bear Ave N, Maplewood, MN 55109-2708 Ph: (651) 704-0322	Mai Nou Thao, 2196 White Bear Ave N, Maplewood, MN 55109-2708 Ph: (651) 702-0233

Reviews and Comments

Nurse Practitioner Nurses in Maplewood, MN

Ambe Ernest Che, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 County Road D E Ste C100, Maplewood, MN 55109 Phone: 651-358-7020
Gretchen L Hanson, CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000
Jennifer Novak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800
Joan M. Nyhus, C.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Beam Ave, Suite 200, Maplewood, MN 55109 Phone: 651-221-9051 Fax: 651-223-5220
Meagan Scherzer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 Fax: 651-348-8783
Reann Jo Mcguire, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-274-3098
Kathleen Dynan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1997 Sloan Pl Ste 17, Maplewood, MN 55117 Phone: 651-772-6251

Mai Nou Thao, - Medicare Nurse Practitioner in Maplewood, MN