M Health Fairview Lakes Medical Center is a medicare enrolled "General Acute Care Hospital" provider in Wyoming, Minnesota. Their current practice location is
5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(651) 982-7000.
M Health Fairview Lakes Medical Center is licensed to practice in Minnesota (license number 342932) and it also participates in the medicare program. M Health Fairview Lakes Medical Center
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1083692941.
Healthcare Provider's Profile
Full Name | M Health Fairview Lakes Medical Center |
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Type | Facility |
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Speciality | General Acute Care Hospital |
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Location | 5200 Fairview Blvd, Wyoming, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083692941
- Provider Enumeration Date: 01/02/2006
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951213057
- Enrollment ID: O20051010000419
Medical Identifiers
Medical identifiers for M Health Fairview Lakes Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083692941 | NPI | - | NPPES |
2116219 | Other | MN | MEDICA |
429880 | Other | MN | MEDICA |
4986 | Other | MN | PREFERREDONE |
19718 | Other | MN | PREFERREDONE |
792825400 | Medicaid | MN | |
9801057 | Other | MN | MEDICA |
110294 | Other | MN | HEALTHPARTNERS |
124637 | Other | MN | UCARE |
1640HDI | Other | MN | BCBS |
300982 | Other | MN | UCARE |
468S0FA | Other | MN | BCBS |
140045 | Other | MN | UCARE |
27581 | Other | MN | HEALTHPARTNERS |
5025460 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | (* (Not Available)) | Secondary |
208M00000X | Hospitalist | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | 342932 (Minnesota) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
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. M Health Fairview Lakes Medical Center 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 |
M Health Fairview Lakes Medical Center 1700 University Ave W, Saint Paul, MN 55104-3727 Ph: (612) 672-6740 | M Health Fairview Lakes Medical Center 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7000 |
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