Mrs Mary Susan Clipp, CPNP-AC in Minneapolis, MN

Mrs Mary Susan Clipp, CPNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Minneapolis, Minnesota. Her current practice location is 2450 Riverside Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 365-3100.

Mrs Mary Susan Clipp is licensed to practice in Minnesota (license number 2036438) 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 1003150194.

Contact Information

	Mrs Mary Susan Clipp, CPNP-AC
	2450 Riverside Ave, Minneapolis, MN 55454-1450
	(612) 365-3100
	(612) 365-3110

Map and Direction

Provider's Profile

Full Name	Mrs Mary Susan Clipp
Gender	Female
Speciality	Nurse Practitioner - Pediatrics, Critical Care
Location	2450 Riverside Ave, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003150194
Provider Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012

Medicare PECOS Information:

PECOS PAC ID: 3577716877
Enrollment ID: I20211215001470

Medical Identifiers

Medical identifiers for Mrs Mary Susan Clipp such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003150194	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0222X	Nurse Practitioner - Pediatrics, Critical Care	2036438 (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. Mrs Mary Susan Clipp allows following entities to bill medicare on her behalf.

Entity Name	Dell Childrens Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030

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. Mrs Mary Susan Clipp 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
Mrs Mary Susan Clipp, CPNP-AC 3333 Harriet Ave, Minneapolis, MN 55408-3729 Ph: (773) 512-4511	Mrs Mary Susan Clipp, CPNP-AC 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-3100

Reviews and Comments

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Mrs Mary Susan Clipp, CPNP-AC - Medicare Nurse Practitioner in Minneapolis, MN