Claire Rustad Welo, PA-C is a medicare enrolled "Physician Assistant" provider in Woodbury, Minnesota. Her current practice location is
576 Bielenberg Dr Ste 250, Woodbury, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(866) 821-0281.
Claire Rustad Welo is licensed to practice in * (Not Available) (license number ) 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 1124453899.
Healthcare Provider's Profile
Full Name | Claire Rustad Welo |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 576 Bielenberg Dr Ste 250, Woodbury, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124453899
- Provider Enumeration Date: 09/12/2013
- Last Update Date: 01/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 1850526294
- Enrollment ID: I20190418001102
Medical Identifiers
Medical identifiers for Claire Rustad Welo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124453899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 3258 (Minnesota) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Claire Rustad Welo 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 |
Claire Rustad Welo, PA-C 1710 E Shore Dr, Maplewood, MN 55109-4210 Ph: (612) 723-8793 | Claire Rustad Welo, PA-C 576 Bielenberg Dr Ste 250, Woodbury, MN 55125-1739 Ph: (866) 821-0281 |
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