Miranda Jo Ristau Obaniana, DPT in Canby, MN - Medicare Physical Therapist Provider

Miranda Jo Ristau Obaniana, DPT is a medicare enrolled "Physical Therapist" provider in Canby, Minnesota. Her current practice location is 112 Saint Olaf Ave S, Canby, Minnesota. You can reach out to her office (for appointments etc.) via phone at (507) 223-7277.

Miranda Jo Ristau Obaniana is licensed to practice in Minnesota (license number 12331) 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 1538811138.

Contact Information

	Miranda Jo Ristau Obaniana, DPT
	112 Saint Olaf Ave S, Canby, MN 56220-1433
	(507) 223-7277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Miranda Jo Ristau Obaniana
Gender	Female
Speciality	Physical Therapist
Location	112 Saint Olaf Ave S, Canby, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538811138
Provider Enumeration Date: 01/25/2022
Last Update Date: 11/25/2022

Medicare PECOS Information:

PECOS PAC ID: 9537556394
Enrollment ID: I20220425002270

Medical Identifiers

Medical identifiers for Miranda Jo Ristau Obaniana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538811138	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2321 (South Dakota)	Secondary
225100000X	Physical Therapist	(* (Not Available))	Secondary
225100000X	Physical Therapist	12331 (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. Miranda Jo Ristau Obaniana allows following entities to bill medicare on her behalf.

Provider Name	Sanford Health Network
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116

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. Miranda Jo Ristau Obaniana 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
Miranda Jo Ristau Obaniana, DPT Po Box 5074, Sioux Falls, SD 57117-5074 Ph: (605) 328-6585	Miranda Jo Ristau Obaniana, DPT 112 Saint Olaf Ave S, Canby, MN 56220-1433 Ph: (507) 223-7277

Reviews and Comments

Physical Therapist in Canby, MN

Casey M Meier, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277
Dr. Adam Lee Hoffmann, PT, DPT, ITPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 Saint Olaf Ave S, Canby, MN 56220 Phone: 507-223-7277 Fax: 507-223-7866
Sarah N Krump, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Ring Ave N, Canby, MN 56220 Phone: 507-223-7225
Melissa Konold, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 112 St. Olaf Avenue S, Canby, MN 56220 Phone: 507-223-7277
Jennifer Jackson, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1001 Ring Ave N, Canby, MN 56220 Phone: 507-872-5300 Fax: 320-839-4196

Miranda Jo Ristau Obaniana, DPT - Medicare Physical Therapist in Canby, MN