Marisa D Moline, APRN, CNP, CBIS in Buffalo, MN

Marisa D Moline, APRN, CNP, CBIS is a medicare enrolled "Nurse Practitioner - Family" in Buffalo, Minnesota. Her current practice location is 1700 Highway 25 N, Buffalo, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 682-1313.

Marisa D Moline is licensed to practice in Minnesota (license number R 146976-3) 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 1962425082.

Contact Information

	Marisa D Moline, APRN, CNP, CBIS
	1700 Highway 25 N, Buffalo, MN 55313-1930
	(763) 682-1313
	(763) 581-9090

Map and Direction

Provider's Profile

Full Name	Marisa D Moline
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Highway 25 N, Buffalo, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962425082
Provider Enumeration Date: 07/26/2006
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0749296705
Enrollment ID: I20060228000520

Medical Identifiers

Medical identifiers for Marisa D Moline such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962425082	NPI	-	NPPES
255489500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	CNP1645 (Minnesota)	Secondary
363L00000X	Nurse Practitioner	R 146976-3 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	R 146976-3 (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. Marisa D Moline allows following entities to bill medicare on her behalf.

Entity Name	Child & Adolescent Behavioral Health Services
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1285760363 PECOS PAC ID: 5991946840 Enrollment ID: O20241107002510

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. Marisa D Moline 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
Marisa D Moline, APRN, CNP, CBIS 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313	Marisa D Moline, APRN, CNP, CBIS 1700 Highway 25 N, Buffalo, MN 55313-1930 Ph: (763) 682-1313

Reviews and Comments

Nurse Practitioner Nurses in Buffalo, MN

Erin Elizabeth Nelson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225
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Jacquelyn Newell, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 Phone: 763-684-6300
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Joella Kate Korpi, DNP, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 902 2nd Ave S, Buffalo, MN 55313 Phone: 906-869-4623

Marisa D Moline, APRN, CNP, CBIS - Medicare Nurse Practitioner in Buffalo, MN