Faith A Manty, APRN, CNP in Moose Lake, MN - Medicare Nurse Practitioner

Faith A Manty, APRN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Moose Lake, Minnesota. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cromwell Medical Clinic Pllc and her current practice location is 4572 County Road 61, Moose Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 485-4481.

Faith A Manty is licensed to practice in Minnesota (license number 722) 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 1124218102.

Contact Information

	Faith A Manty, APRN, CNP
	4572 County Road 61, Moose Lake, MN 55767-9401
	(218) 485-4481
	(218) 485-5866

Map and Direction

Provider's Profile

Full Name	Faith A Manty
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	4572 County Road 61, Moose Lake, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Faith A Manty graduated from nursing school in 2007

NPI Data:

NPI Number: 1124218102
Provider Enumeration Date: 07/26/2007
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 0749375277
Enrollment ID: I20070928000384

Medical Identifiers

Medical identifiers for Faith A Manty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124218102	NPI	-	NPPES
894967000	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R 137363-9 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	722 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health Moose Lake	Moose lake, MN	Hospital
Community Memorial Hospital	Cloquet, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cromwell Medical Clinic Pllc	5890861173	3

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. Faith A Manty allows following entities to bill medicare on her behalf.

Entity Name	Cromwell Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821250549 PECOS PAC ID: 5890861173 Enrollment ID: O20080910000613

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. Faith A Manty 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
Faith A Manty, APRN, CNP 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481	Faith A Manty, APRN, CNP 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481

Reviews and Comments

Nurse Practitioner Nurses in Moose Lake, MN

Tanya Eiffler, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 651-431-7631
Sonja M. Roach, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4570 County Highway 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724
Jonathan Franklin Klingaman, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200
Genevieve M Swenson, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4570 Cty. Hwy. 61, Moose Lake, MN 55767 Phone: 218-485-4491 Fax: 218-485-4724
Keri Ann Ovsak, RN, MA, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1111 Highway 73, Moose Lake, MN 55767 Phone: 218-565-6200 Fax: 218-565-6240
Mr. Gregory Raymond Larson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015

Faith A Manty, APRN, CNP - Medicare Nurse Practitioner in Moose Lake, MN