Mr Richard John Mastenbrook, CNP in Chisago City, MN

Mr Richard John Mastenbrook, CNP is a medicare enrolled "Nurse Practitioner" in Chisago City, Minnesota. He graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Fairview Clinics and his current practice location is 11725 Stinson Ave, Chisago City, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 257-8850.

Mr Richard John Mastenbrook is licensed to practice in Minnesota (license number AG0714121) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619386083.

Contact Information

	Mr Richard John Mastenbrook, CNP
	11725 Stinson Ave, Chisago City, MN 55013-9542
	(651) 257-8850
	(651) 257-8852

Map and Direction

Provider's Profile

Full Name	Mr Richard John Mastenbrook
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	11725 Stinson Ave, Chisago City, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Richard John Mastenbrook graduated from nursing school in 2014

NPI Data:

NPI Number: 1619386083
Provider Enumeration Date: 08/10/2014
Last Update Date: 08/11/2022

Medicare PECOS Information:

PECOS PAC ID: 8123340114
Enrollment ID: I20141202001220

Medical Identifiers

Medical identifiers for Mr Richard John Mastenbrook such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619386083	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AG0714121 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Minnesota Medical Center, Fairview	Minneapolis, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fairview Clinics	7113830142	736

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. Mr Richard John Mastenbrook allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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. Mr Richard John Mastenbrook 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
Mr Richard John Mastenbrook, CNP 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: (516) 232-2002	Mr Richard John Mastenbrook, CNP 11725 Stinson Ave, Chisago City, MN 55013-9542 Ph: (651) 257-8850

Reviews and Comments

Nurse Practitioner Nurses in Chisago City, MN

Karla Jean Lind, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-674-4570
Susan Flannigan, RNCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Fairview Lakes Chisago Clinic, 11725 Stinson Ave, Chisago City, MN 55013 Phone: 651-257-8499
Mrs. Gina Sophia Marchio Smith, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 29575 Sportsman Dr Ste 6, Chisago City, MN 55013 Phone: 651-257-8850
Kelsey Lynn Mccollum, APRN - CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11725 Stinson Ave, Chisago City, MN 55013 Phone: 855-324-7843

Mr Richard John Mastenbrook, CNP - Medicare Nurse Practitioner in Chisago City, MN