Totianna Renee Prudhomme, NP in Maplewood, MN

Totianna Renee Prudhomme, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Maplewood, Minnesota. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minnesota Oncology Hematology, Pa, Minnesota Oncology Hematology, Pa and her current practice location is 1560 Beam Ave, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 779-7978.

Totianna Renee Prudhomme is licensed to practice in Minnesota (license number R1716254) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821302100.

Contact Information

	Totianna Renee Prudhomme, NP
	1560 Beam Ave, Maplewood, MN 55109-1191
	(651) 779-7978
	(779) 765-6612

Map and Direction

Provider's Profile

Full Name	Totianna Renee Prudhomme
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1560 Beam Ave, Maplewood, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Totianna Renee Prudhomme graduated from nursing school in 2010

NPI Data:

NPI Number: 1821302100
Provider Enumeration Date: 07/29/2010
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 8729268206
Enrollment ID: I20110216000263

Medical Identifiers

Medical identifiers for Totianna Renee Prudhomme such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821302100	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	R1716254 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Croix Regional Medical Ctr	Saint croix falls, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minnesota Oncology Hematology, Pa	6709799752	104
Minnesota Oncology Hematology, Pa	6709799752	104

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. Totianna Renee Prudhomme allows following entities to bill medicare on her behalf.

Entity Name	Minnesota Oncology Hematology, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528035995 PECOS PAC ID: 6709799752 Enrollment ID: O20031106000626

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. Totianna Renee Prudhomme 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
Totianna Renee Prudhomme, NP 7595 Anagram Dr, Eden Prairie, MN 55344-7399 Ph: (612) 573-2200	Totianna Renee Prudhomme, NP 1560 Beam Ave, Maplewood, MN 55109-1191 Ph: (651) 779-7978

Reviews and Comments

Nurse Practitioner Nurses in Maplewood, MN

Ambe Ernest Che, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2115 County Road D E Ste C100, Maplewood, MN 55109 Phone: 651-358-7020
Gretchen L Hanson, CNNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1575 Beam Ave, Maplewood, MN 55109 Phone: 651-232-7000
Jennifer Novak, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2165 White Bear Ave N, Maplewood, MN 55109 Phone: 651-523-9800
Joan M. Nyhus, C.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1650 Beam Ave, Suite 200, Maplewood, MN 55109 Phone: 651-221-9051 Fax: 651-223-5220
Meagan Scherzer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2603 White Bear Ave N, Maplewood, MN 55109 Phone: 651-600-3035 Fax: 651-348-8783
Reann Jo Mcguire, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2945 Hazelwood St Ste 100, Maplewood, MN 55109 Phone: 651-274-3098
Kathleen Dynan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1997 Sloan Pl Ste 17, Maplewood, MN 55117 Phone: 651-772-6251

Totianna Renee Prudhomme, NP - Medicare Nurse Practitioner in Maplewood, MN