Faisa Mohamed, is a
Student In An Organized Health Care Education/training Program based in Minneapolis, Minnesota. Faisa Mohamed is licensed to practice in Minnesota (license number ) and her current practice location is
701 25th Ave S, Minneapolis, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1388.
NPI number for Faisa Mohamed is 1619744190 and her current mailing address is 15644 Fairfield Dr, Apple Valley, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619744190.
Provider's Profile
| Full Name | Faisa Mohamed |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 701 25th Ave S, Minneapolis, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619744190
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 05/30/2026
Medical Identifiers
Medical identifiers for Faisa Mohamed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619744190 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Minnesota) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Minnesota) | Primary |
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. Faisa Mohamed is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Faisa Mohamed,
15644 Fairfield Dr,
Apple Valley, MN 55124-5352
Ph: () - | Faisa Mohamed,
701 25th Ave S,
Minneapolis, MN 55454-1513
Ph: (612) 330-1388 |
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