Credent Care Llc in Saint Cloud, MN - Medicare Clinic/Center

Credent Care Llc is a medicare enrolled primary clinic (Clinic/center) in Saint Cloud, Minnesota. The current practice location for Credent Care Llc is 2719 W Division St Ste 124, Saint Cloud, Minnesota. For appointments, you can reach them via phone at (612) 987-9775. The mailing address for Credent Care Llc is 2719 W Division St Ste 124, Saint Cloud, Minnesota and phone number is () -.

Credent Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1780254920. 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 (612) 987-9775.

Contact Information

	Credent Care Llc
	2719 W Division St Ste 124 Saint Cloud MN 56301-3822
	(612) 987-9775
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Credent Care Llc
Speciality	Clinic/Center
Location	2719 W Division St Ste 124, Saint Cloud, Minnesota
Authorized Official Name and Position	Shirwa Adan (OWNER)
Authorized Official Contact	6129879775
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Credent Care Llc 2719 W Division St Ste 124 Saint Cloud MN 56301-3822 Ph: () -	Credent Care Llc 2719 W Division St Ste 124 Saint Cloud MN 56301-3822 Ph: (612) 987-9775

NPI Details:

NPI Number	1780254920
Provider Enumeration Date	06/29/2021
Last Update Date	06/29/2021

Medicare PECOS Information:

Medicare PECOS PAC ID	0143756700
Medicare Enrollment ID	O20241206000961

Medical Identifiers

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

Identifier	Type	State	Issuer
1780254920	NPI	-	NPPES

Medical Taxonomies and Licenses

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

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Credent Care Llc acts as a billing entity for following providers:

Provider Name	Sara R Devos
Provider Type	Practitioner - Clinical Social Worker
Provider Identifiers	NPI Number: 1417388794 PECOS PAC ID: 2365815206 Enrollment ID: I20230227000061

Provider Name	Lance Johnson
Provider Type	Practitioner - Mental Health Counselor
Provider Identifiers	NPI Number: 1013682558 PECOS PAC ID: 1951748466 Enrollment ID: I20240320000768

Reviews and Comments

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Credent Care Llc - Medicare Primary Care in Saint Cloud, MN