Mrs Callen Marie Young, PA-S is a medicare enrolled "Physician Assistant" physician in Minneapolis, Minnesota. Her current practice location is
2525 Chicago Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 813-6000.
Mrs Callen Marie Young is licensed to practice in Minnesota (license number 14090) 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 1578177119.
Physician's Profile
Full Name | Mrs Callen Marie Young |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2525 Chicago Ave, Minneapolis, 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: 1578177119
- Provider Enumeration Date: 09/01/2020
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769863265
- Enrollment ID: I20220714002905
Medical Identifiers
Medical identifiers for Mrs Callen Marie Young such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578177119 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Y00000X | Otolaryngology | 14090 (Minnesota) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 14090 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 14090 (Minnesota) | 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. Mrs Callen Marie Young 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 |
Mrs Callen Marie Young, PA-S 2925 Chicago Avenue, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Mrs Callen Marie Young, PA-S 2525 Chicago Ave, Minneapolis, MN 55404-4518 Ph: (612) 813-6000 |
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