Rebecca Prosen, in Maple Grove, MN - Medicare Nurse Practitioner

Rebecca Prosen, is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in Maple Grove, Minnesota. Her current practice location is 9325 Upland Ln N Ste 360, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 322-6905.

Rebecca Prosen is licensed to practice in Minnesota (license number 9971) 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 1295971422.

Contact Information

	Rebecca Prosen,
	9325 Upland Ln N Ste 360, Maple Grove, MN 55369-4463
	(612) 322-6905
	Not Available

Map and Direction

Provider's Profile

Full Name	Rebecca Prosen
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	9325 Upland Ln N Ste 360, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295971422
Provider Enumeration Date: 12/17/2008
Last Update Date: 01/23/2024

Medicare PECOS Information:

PECOS PAC ID: 8426429325
Enrollment ID: I20240220002677

Medical Identifiers

Medical identifiers for Rebecca Prosen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295971422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	5873 (Colorado)	Secondary
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	9971 (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. Rebecca Prosen allows following entities to bill medicare on her behalf.

Entity Name	Healtheast Medical Research Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

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. Rebecca Prosen 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
Rebecca Prosen, 15560 76th Ct Ne, Otsego, MN 55330-3005 Ph: (773) 306-6840	Rebecca Prosen, 9325 Upland Ln N Ste 360, Maple Grove, MN 55369-4463 Ph: (612) 322-6905

Reviews and Comments

Nurse Practitioner Nurses in Maple Grove, MN

Gregory Njora Kariuki, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 763-712-2100
Kayla Joyer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9645 Grove Cir N Ste 100, Maple Grove, MN 55369 Phone: 763-302-4114
Rhonda Marie Wolfe, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 866-389-2727
Kalie R Mccauley, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6300 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 612-244-5325
Pennelope H Fearing, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9550 Upland Ln N Ste 100, Maple Grove, MN 55369 Phone: 763-772-9820 Fax: 763-537-6666
Mr. Abolfazl Kowsari, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9512 Pineview Ln N, Maple Grove, MN 55369 Phone: 763-923-5608
Jill E Gauger, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7368 Kirkwood Ct N, Maple Grove, MN 55369 Phone: 763-416-2280

Rebecca Prosen, - Medicare Nurse Practitioner in Maple Grove, MN