Entira Family Clinics - Hugo - Medicare Primary Care in Hugo, MN

Entira Family Clinics - Hugo is a medicare enrolled primary clinic (Family Medicine) in Hugo, Minnesota. The current practice location for Entira Family Clinics - Hugo is 14688 Everton Ave N, Hugo, Minnesota. For appointments, you can reach them via phone at (651) 788-4444. The mailing address for Entira Family Clinics - Hugo is 2025 Sloan Pl Ste 35, Saint Paul, Minnesota and phone number is (651) 772-1572.

Entira Family Clinics - Hugo is licensed to practice in Minnesota (license number 1428). The clinic also participates in the medicare program and its NPI number is 1639359359. 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) 788-4444.

Contact Information

Entira Family Clinics - Hugo
14688 Everton Ave N
Hugo
MN 55038-6071
(651) 788-4444
(651) 429-3402

Map and Direction


Primary Care Clinic Profile

Full NameEntira Family Clinics - Hugo
SpecialityFamily Medicine
Location14688 Everton Ave N, Hugo, Minnesota
Authorized Official Name and PositionKyle Nelson (CAO)
Authorized Official Contact6517721572
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Entira Family Clinics - Hugo
2025 Sloan Pl Ste 35
Saint Paul
MN 55117-2092

Ph: (651) 772-1572
Entira Family Clinics - Hugo
14688 Everton Ave N
Hugo
MN 55038-6071

Ph: (651) 788-4444

NPI Details:

NPI Number1639359359
Provider Enumeration Date11/09/2007
Last Update Date10/26/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1355369018
Medicare Enrollment IDO20071215000036

Medical Identifiers

Medical identifiers for Entira Family Clinics - Hugo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639359359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1428 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Entira Family Clinics - Hugo acts as a billing entity for following providers:
Provider NameBeth E Wodrich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245241629
PECOS PAC ID: 5294649232
Enrollment ID: I20031114000258
Provider NameDavid R Rossmiller
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326055088
PECOS PAC ID: 7719890326
Enrollment ID: I20040220000342
Provider NameLori M Bethke
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1639193261
PECOS PAC ID: 6103717665
Enrollment ID: I20040323001398
Provider NameDaniel R. Stahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235210659
PECOS PAC ID: 3476465923
Enrollment ID: I20040614000916
Provider NameAnn M Barry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831141886
PECOS PAC ID: 5597728295
Enrollment ID: I20041104000231
Provider NameMatthew C Monteiro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285640235
PECOS PAC ID: 4183652613
Enrollment ID: I20050727000249
Provider NameJames R Benzie
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689696916
PECOS PAC ID: 8123058120
Enrollment ID: I20050819000043
Provider NameWilliam D Sypura
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326054180
PECOS PAC ID: 0840221883
Enrollment ID: I20050830000045
Provider NameDaniel E Larkin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710940697
PECOS PAC ID: 3577597210
Enrollment ID: I20050922000553
Provider NameGarrett R Trobec
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386655488
PECOS PAC ID: 5890719322
Enrollment ID: I20060123000814
Provider NameMark W Bogel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699782359
PECOS PAC ID: 4284546391
Enrollment ID: I20060424000481
Provider NameTimothy J Hernandez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1932110079
PECOS PAC ID: 2163334285
Enrollment ID: I20060424000516
Provider NameDenise J Long
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124039177
PECOS PAC ID: 7416869532
Enrollment ID: I20060424000533
Provider NameJoseph J Saccoman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487665527
PECOS PAC ID: 4486566502
Enrollment ID: I20060424000603
Provider NameJohn P Barsanti
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1144237801
PECOS PAC ID: 8921910035
Enrollment ID: I20060425000061
Provider NameRyan M Dick
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1619901782
PECOS PAC ID: 6406953918
Enrollment ID: I20070517000560
Provider NameMichelle L Swiglo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1316953086
PECOS PAC ID: 1557457272
Enrollment ID: I20071011000019
Provider NameAlicia M Turenne
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780610378
PECOS PAC ID: 6800985045
Enrollment ID: I20071211000281
Provider NameJeffrey D Elbers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1174547723
PECOS PAC ID: 8820900947
Enrollment ID: I20071215000203
Provider NameCynthia M Frane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568473650
PECOS PAC ID: 1456264050
Enrollment ID: I20071215000222
Provider NameBruce H Leppink
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356365993
PECOS PAC ID: 9133032741
Enrollment ID: I20071217000052
Provider NameJulia K Perpich
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1083620769
PECOS PAC ID: 2466365077
Enrollment ID: I20071217000239
Provider NameTheresa M Wollan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770599458
PECOS PAC ID: 3870406499
Enrollment ID: I20071217000638
Provider NameTara L Kelly
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215967146
PECOS PAC ID: 9335219138
Enrollment ID: I20080605000612
Provider NameNicole R Vik
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780614610
PECOS PAC ID: 6709922594
Enrollment ID: I20091008000271
Provider NameRobyn S Tabibi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1740216340
PECOS PAC ID: 5991841678
Enrollment ID: I20091009000547
Provider NameSarah E Masrud
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447413539
PECOS PAC ID: 1658418827
Enrollment ID: I20091020000497
Provider NameBaubak Azar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437444338
PECOS PAC ID: 8820239114
Enrollment ID: I20140626001092
Provider NameEllen C Ratts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306214648
PECOS PAC ID: 3274834627
Enrollment ID: I20151209001451
Provider NameThomas A Haroldson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942697131
PECOS PAC ID: 0648563817
Enrollment ID: I20160726000761
Provider NameBrandon C Ng
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386099851
PECOS PAC ID: 5092007880
Enrollment ID: I20170831001841
Provider NameKelly A Barnes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1861802001
PECOS PAC ID: 0143548263
Enrollment ID: I20170915002360
Provider NameLynn C Elrod
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982133476
PECOS PAC ID: 8921372756
Enrollment ID: I20170918002863
Provider NameCasandera K Wiek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215438189
PECOS PAC ID: 7012279292
Enrollment ID: I20180328001371
Provider NameChristina M Losasso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598220923
PECOS PAC ID: 9638412737
Enrollment ID: I20190513000719
Provider NameJoel R Soma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053809020
PECOS PAC ID: 3678838265
Enrollment ID: I20190729001126
Provider NameEvan R Eide
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194212605
PECOS PAC ID: 9335498419
Enrollment ID: I20190807000764
Provider NameBrandon R Porten
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1942799895
PECOS PAC ID: 0648525832
Enrollment ID: I20190807002308
Provider NameSarah Vicenta Soma
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356839336
PECOS PAC ID: 5193075398
Enrollment ID: I20190905000835
Provider NameJessica Ruth Taylor
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093243941
PECOS PAC ID: 2769816610
Enrollment ID: I20200709002730
Provider NameMary Catherine Mohr
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275024663
PECOS PAC ID: 0345596482
Enrollment ID: I20211026000545
Provider NameLisa M Marshall
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275153363
PECOS PAC ID: 5193140200
Enrollment ID: I20230823003856
Provider NameMaura C Jacobi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962021162
PECOS PAC ID: 1052774429
Enrollment ID: I20230901000255

Reviews and Comments


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Phone: 651-429-9010    Fax: 651-429-2574

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.