Rebecca Kweryogha Muwanse, MD
Individual provider Active NPI Family Medicine Physician · Onamia, MN
NPI 1053934208 · NPPES record last updated Aug 23, 2023
Key facts
- NPI
- 1053934208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 73012 (MN)
- Practice address
- 200 Elm St N
Onamia, MN 56359-7901 - Phone
- (320) 532-3154
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mille Lacs Health System
Practice addresses (Care Compare)
200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154
Hospital & facility affiliations
- Aveanna Home Health
- Mille Lacs Health System
- Centracare - St. Cloud Hospital
- Mille Lacs Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230825000490 | MN | Practitioner - Family Practice | 6103289038 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73012 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mille Lacs Health System | Family Medicine | Current | Accepting new patients |
| Mille Lacs Health System | Current |
Accepting new patients | |
| Mille Lacs Health System | Family Medicine | Current | Accepting new patients |
| Mille Lacs Health System | Current |
Accepting new patients | |
| Mille Lacs Health System | Current |
Accepting new patients |
Locations
27378 State Highway 18
Garrison, MN 56450
Phone (320) 692-5599
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 73012 | MN | Yes |
Addresses
Primary practice location
200 Elm St N
Onamia, MN 56359-7901
Mailing address
333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (603) 559-4129
Other practice location 1
333 Borthwick Ave Ste 100
Portsmouth, NH 03801-4198
Phone (603) 559-4129
Other providers in Onamia, MN
- Mille Lacs Health System
- Mille Lacs Health System
- Mille Lacs Hospital Pharmacy
- Linda K. Moses
- Claudia Maria Muntifering
- Nicole Marie Narveson
- Nexus
- Nexus
- Nexus
- Nexus Family Healing
All providers in Onamia, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.