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

is a medicare enrolled primary clinic (Clinic/center) in Shakopee, Minnesota. The current practice location for is 4201 Dean Lakes Blvd Ste 120, Shakopee, Minnesota. For appointments, you can reach them via phone at (952) 496-6700. 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 1013213461. 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) 496-6700.

Contact Information


	4201 Dean Lakes Blvd Ste 120 Shakopee MN 55379-2850
	(952) 496-6700
	(952) 445-6448

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	4201 Dean Lakes Blvd Ste 120, Shakopee, 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	4201 Dean Lakes Blvd Ste 120 Shakopee MN 55379-2850 Ph: (952) 496-6700

NPI Details:

NPI Number	1013213461
Provider Enumeration Date	02/02/2011
Last Update Date	01/14/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	4587573613
Medicare Enrollment ID	O20120301000902

Medical Identifiers

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

Identifier	Type	State	Issuer
1013213461	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Reviews and Comments

Clinic/Center in Shakopee, MN

Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1240 3rd Ave E, Suite 9, Shakopee, MN 55379 Phone: 952-445-7890 Fax: 952-445-7893
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 10th Ave E, Shakopee, MN 55379 Phone: 952-496-6700 Fax: 952-445-9446
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1601 St Francis Ave, Ste 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599
St Francis Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-428-3000

- Medicare Primary Care in Shakopee, MN