<unavail> in Saint Paul, MN - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center) in Saint Paul, Minnesota. The current practice location for is 2309 Como Ave, Saint Paul, Minnesota. For appointments, you can reach them via phone at (651) 644-5102. The mailing address for is Po Box 8007, Saint Paul, Minnesota and phone number is (651) 644-5102.

is licensed to practice in Minnesota (license number ). The clinic also participates in the medicare program and its NPI number is 1518192798. 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) 644-5102.

Contact Information


	2309 Como Ave Saint Paul MN 55108-1723
	(651) 644-5102
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	2309 Como Ave, Saint Paul, Minnesota
Authorized Official Name and Position	David M Daly (PRESIDENT)
Authorized Official Contact	6128193475
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 8007 Saint Paul MN 55108-0007 Ph: (651) 644-5102	2309 Como Ave Saint Paul MN 55108-1723 Ph: (651) 644-5102

NPI Details:

NPI Number	1518192798
Provider Enumeration Date	05/18/2009
Last Update Date	07/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID	1557548856
Medicare Enrollment ID	O20110615000069

Medical Identifiers

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

Identifier	Type	State	Issuer
1518192798	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(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. acts as a billing entity for following providers:

Provider Name	David M Daly
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1477632065 PECOS PAC ID: 4183801483 Enrollment ID: I20110615000089

Provider Name	Joel Dennis Peterson
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1902459530 PECOS PAC ID: 4082941976 Enrollment ID: I20190815001664

Reviews and Comments

Clinic/Center in Saint Paul, MN

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- Medicare Primary Care in Saint Paul, MN