<unavail> in Chaska, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Chaska, Minnesota. The current practice location for is 111 Hundertmark Rd Ste 220, Chaska, Minnesota. For appointments, you can reach them via phone at (952) 448-2050. The mailing address for is Po Box 43, Mail Route 10585, Minneapolis, Minnesota and phone number is (612) 262-1166.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1104122555. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (952) 448-2050.

Contact Information


	111 Hundertmark Rd Ste 220 Chaska MN 55318-1197
	(952) 448-2050
	(952) 448-5952

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	111 Hundertmark Rd Ste 220, Chaska, Minnesota
Authorized Official Name and Position	Dominica Tallarico (COO)
Authorized Official Contact	6122222222
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 43 Mail Route 10585 Minneapolis MN 55440-0043 Ph: (612) 262-1166	111 Hundertmark Rd Ste 220 Chaska MN 55318-1197 Ph: (952) 448-2050

NPI Details:

NPI Number	1104122555
Provider Enumeration Date	02/02/2011
Last Update Date	01/14/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	4587573613
Medicare Enrollment ID	O20120302000163

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104122555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Chaska, MN

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1580 White Oak Dr Ste 100, Chaska, MN 55318 Phone: 952-544-8800 Fax: 952-361-0003
Ridgeview Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Hundertmark Rd, Chaska, MN 55318 Phone: 952-361-2450 Fax: 952-361-2461
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3000 N Chestnut St, Suite 120, Chaska, MN 55318 Phone: 952-448-2050 Fax: 952-448-2185
Restoration Chiropractic Chaska, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Hazeltine Blvd, Ste 100, Chaska, MN 55318 Phone: 952-368-4700 Fax: 952-368-4742

- Medicare Primary Care in Chaska, MN