<unavail> in St Paul, MN - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in St Paul, Minnesota. The current practice location for is 2120 Ford Pkwy, St Paul, Minnesota. For appointments, you can reach them via phone at (651) 241-9600. 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 1457657231. 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 (651) 241-9600.

Contact Information


	2120 Ford Pkwy St Paul MN 55116-1863
	(651) 241-9600
	(651) 241-9593

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	2120 Ford Pkwy, St Paul, 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	2120 Ford Pkwy St Paul MN 55116-1863 Ph: (651) 241-9600

NPI Details:

NPI Number	1457657231
Provider Enumeration Date	01/27/2011
Last Update Date	01/22/2025

Medicare PECOS Information:

Medicare PECOS PAC ID	4587573613
Medicare Enrollment ID	O20120301000068

Medical Identifiers

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

Identifier	Type	State	Issuer
1457657231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
261Q00000X	Clinic/center	(* (Not Available))	Secondary

Reviews and Comments

Family Medicine in St Paul, MN

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- Medicare Primary Care in St Paul, MN