Mouaffaa Tello, - Medicare Hospitalist in St Louis Park, MN

Mouaffaa Tello, is a medicare enrolled "Hospitalist" physician in St Louis Park, Minnesota. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Hospitalist. He is a member of the group practice Park Nicollet Clinic and his current practice location is 6500 Excelsior Blvd, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-5000.

Mouaffaa Tello is licensed to practice in Minnesota (license number 69169) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831622489.

Contact Information

Mouaffaa Tello,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702
(952) 993-5000
Not Available



Physician's Profile

Full NameMouaffaa Tello
GenderMale
SpecialityHospitalist
Experience11 Years
Location6500 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mouaffaa Tello graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1831622489
  • Provider Enumeration Date: 04/10/2017
  • Last Update Date: 09/03/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375889181
  • Enrollment ID: I20200930001602

Medical Identifiers

Medical identifiers for Mouaffaa Tello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831622489NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 69169 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital
North Memorial HealthRobbinsdale, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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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. Mouaffaa Tello allows following entities to bill medicare on his behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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Entity NameHutchinson Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053508820
PECOS PAC ID: 0345330072
Enrollment ID: O20080312000695

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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. Mouaffaa Tello 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
Mouaffaa Tello,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-5000
Mouaffaa Tello,
6500 Excelsior Blvd,
St Louis Park, MN 55426-4702

Ph: (952) 993-5000

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4SC AG announces the first treatment in Phase I clinical study of 4SC-205

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Hospitalist Doctors in St Louis Park, MN

Junqing Xin, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Excelsior Blvd, Methodist Hospitalist Program Suite 2-260, St Louis Park, MN 55426
Phone: 952-993-5000    
Kayleigh Dittes, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    
Dr. Sara Ann Hoff, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426
Phone: 952-993-5000    

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