Doha Salem, is a medicare enrolled "Dietitian, Registered" provider in Columbia Heights, Minnesota. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice North Memorial Health Care and her current practice location is
4000 Central Ave Ne, Columbia Heights, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 782-8183.
Doha Salem is licensed to practice in Minnesota (license number 86046832) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295232718.
Healthcare Provider's Profile
| Full Name | Doha Salem |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 12 Years |
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| Location | 4000 Central Ave Ne, Columbia Heights, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Doha Salem graduated from medical school in 2012
NPI Data:
- NPI Number: 1295232718
- Provider Enumeration Date: 04/11/2018
- Last Update Date: 10/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961751946
- Enrollment ID: I20180827002362
Medical Identifiers
Medical identifiers for Doha Salem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295232718 | NPI | - | NPPES |
| 82-3505719 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86046832 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Memorial Health Care | 0042123028 | 483 |
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. Doha Salem allows following entities to bill medicare on her behalf.
| Provider Name | Fairview Health Services |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461 |
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| Provider Name | Fairview Clinics |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516 |
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| Provider Name | North Memorial Health Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851344907
PECOS PAC ID: 0042123028
Enrollment ID: O20040122000470 |
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| Provider Name | Fairview Express Care |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548 |
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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. Doha Salem 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 |
|---|
Doha Salem,
18680 97th Pl N # En,
Maple Grove, MN 55311-1366
Ph: () - | Doha Salem,
4000 Central Ave Ne,
Columbia Heights, MN 55421-2968
Ph: (763) 782-8183 |
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