Mirtha Nesheim, MD - Medicare Family Practice in Maple Grove, MN

Mirtha Nesheim, MD is a medicare enrolled "Family Medicine" physician in Maple Grove, Minnesota. She graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is 12000 Elm Creek Blvd N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 420-5822.

Mirtha Nesheim is licensed to practice in Minnesota (license number 46595) 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 1093780934.

Contact Information

Mirtha Nesheim, MD
12000 Elm Creek Blvd N,
Maple Grove, MN 55369-7073
(763) 420-5822
(763) 420-6387



Physician's Profile

Full NameMirtha Nesheim
GenderFemale
SpecialityFamily Practice
Experience34 Years
Location12000 Elm Creek Blvd N, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mirtha Nesheim graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1093780934
  • Provider Enumeration Date: 02/22/2006
  • Last Update Date: 03/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557343548
  • Enrollment ID: I20040603000554

Medical Identifiers

Medical identifiers for Mirtha Nesheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093780934NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 46595 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Abbott Northwestern HospitalMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allina Health System45875736133071

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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. Mirtha Nesheim allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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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. Mirtha Nesheim 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 AddressPractice Location Address
Mirtha Nesheim, MD
9800 Rockford Rd,
Plymouth, MN 55442-2811

Ph: (763) 559-0092
Mirtha Nesheim, MD
12000 Elm Creek Blvd N,
Maple Grove, MN 55369-7073

Ph: (763) 420-5822

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Family Medicine Doctors in Maple Grove, MN

Dr. Pamela D Doorenbos, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369
Phone: 763-494-7500    Fax: 763-494-7501
Keith Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9855 Hospital Dr Ste 102, Maple Grove, MN 55369
Phone: 763-581-5900    Fax: 763-581-5901
Dr. Mark S Hench, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369
Phone: 763-581-9220    
Ronald B Boeding, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9645 Grove Cir N Ste 200, Maple Grove, MN 55369
Phone: 763-201-8191    Fax: 763-201-8192
Moushumi Meher, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369
Phone: 763-587-7900    Fax: 763-494-7501
Pamela Kolacz, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6320 Wedgwood Rd N, Maple Grove, MN 55311
Phone: 763-268-0400    Fax: 763-268-0405

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