Mouaffaa Tello, | |
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
(952) 993-5000 | |
Not Available |
Full Name | Mouaffaa Tello |
---|---|
Gender | Male |
Speciality | Hospitalist |
Experience | 11 Years |
Location | 6500 Excelsior Blvd, St Louis Park, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831622489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208M00000X | Hospitalist | 69169 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
Hutchinson Health | Hutchinson, MN | Hospital |
North Memorial Health | Robbinsdale, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hutchinson Health | 0345330072 | 112 |
Park Nicollet Clinic | 7911819438 | 1530 |
Entity Name | Park Nicollet Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Entity Name | Hutchinson Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695 |
Mailing Address | Practice 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 |
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 |