Momodou Manjang Jr, is a
Nurse Anesthetist, Certified Registered based in Brooklyn Park, Minnesota. Momodou Manjang Jr is licensed to practice in Wisconsin (license number 516682) and current practice location is
6252 Creekview Ln N, Brooklyn Park, Minnesota. can be reached at office (for appointments etc.) via phone at
(612) 483-4178.
NPI number for Momodou Manjang Jr is 1548134182 and current mailing address is 6252 Creekview Ln N, Brooklyn Park, Minnesota.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1548134182.
Provider's Profile
| Full Name | Momodou Manjang Jr |
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| Gender | |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 6252 Creekview Ln N, Brooklyn Park, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548134182
- Provider Enumeration Date: 10/04/2025
- Last Update Date: 10/04/2025
Medical Identifiers
Medical identifiers for Momodou Manjang Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1548134182 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 516682 (Wisconsin) | 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. Momodou Manjang Jr 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 |
Momodou Manjang Jr, 6252 Creekview Ln N, Brooklyn Park, MN 55443-2374 Ph: (612) 483-4178 | Momodou Manjang Jr, 6252 Creekview Ln N, Brooklyn Park, MN 55443-2374 Ph: (612) 483-4178 |
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