Mr Mohammed Azeemuddin, APRN, CNP in Baxter, MN

Mr Mohammed Azeemuddin, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Baxter, Minnesota. His current practice location is 13060 Isle Dr, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 828-2880.

Mr Mohammed Azeemuddin is licensed to practice in Minnesota (license number CNP4943) 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 1144693169.

Contact Information

	Mr Mohammed Azeemuddin, APRN, CNP
	13060 Isle Dr, Baxter, MN 56425-8331
	(218) 828-2880
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Mohammed Azeemuddin
Gender	Male
Speciality	Nurse Practitioner - Family
Location	13060 Isle Dr, Baxter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144693169
Provider Enumeration Date: 11/13/2015
Last Update Date: 02/19/2018

Medicare PECOS Information:

PECOS PAC ID: 1951603240
Enrollment ID: I20160104001131

Medical Identifiers

Medical identifiers for Mr Mohammed Azeemuddin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144693169	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209013457 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	201704860NP-PP (Oregon)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP4943 (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 Mohammed Azeemuddin allows following entities to bill medicare on his behalf.

Entity Name	Rush Oak Park Er Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187

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 Mohammed Azeemuddin 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 Mohammed Azeemuddin, APRN, CNP 13060 Isle Dr, Baxter, MN 56425-8331 Ph: (218) 828-2880	Mr Mohammed Azeemuddin, APRN, CNP 13060 Isle Dr, Baxter, MN 56425-8331 Ph: (218) 828-2880

Reviews and Comments

Nurse Practitioner Nurses in Baxter, MN

Shannon N Siekas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880
Karen K Opp, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880
Danielle J Munsterman, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13205 Isle Dr, Baxter, MN 56425 Phone: 218-454-7600 Fax: 218-546-4400
Mrs. Shannon Christian Shaw, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 512-981-8445
Trisha Marie Rau, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 Fax: 218-454-5936
Rhoda M Rees, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13060 Isle Dr, Baxter, MN 56425 Phone: 218-828-2880 Fax: 218-454-5916
Mrs. Amanda June Inas Mikhaeil, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14241 Grand Oaks Dr, Baxter, MN 56425 Phone: 218-316-3101

Mr Mohammed Azeemuddin, APRN, CNP - Medicare Nurse Practitioner in Baxter, MN