- Medicare Primary Care in St Michael, MN

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is a medicare enrolled primary clinic (Clinic/center) in St Michael, Minnesota. The current practice location for is 4300 Edgewood Dr Ne, St Michael, Minnesota. For appointments, you can reach them via phone at (763) 744-4000. The mailing address for is Po Box 43, Mail Route 10860, 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 1881990521. 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 (763) 744-4000.

Contact Information

4300 Edgewood Dr Ne
St Michael
MN 55376-4588
(763) 744-4000
(763) 744-4124

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location4300 Edgewood Dr Ne, St Michael, Minnesota
Authorized Official Name and PositionDominica Tallarico (COO)
Authorized Official Contact6122222222
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

Po Box 43
Mail Route 10860
Minneapolis
MN 55440-0043

Ph: (612) 262-1166
4300 Edgewood Dr Ne
St Michael
MN 55376-4588

Ph: (763) 744-4000

NPI Details:

NPI Number1881990521
Provider Enumeration Date01/27/2011
Last Update Date03/25/2024

Medicare PECOS Information:

Medicare PECOS PAC ID4587573613
Medicare Enrollment IDO20120301000177

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881990521NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Reviews and Comments


Clinic/Center in St Michael, MN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.