Fairview Express Care - Medicare Primary Care in Hudson, WI

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Fairview Express Care is a medicare enrolled primary clinic (Clinic/center) in Hudson, Wisconsin. The current practice location for Fairview Express Care is 2651 Hillcrest Dr Ste 302, Hudson, Wisconsin. For appointments, you can reach them via phone at (612) 365-5000. The mailing address for Fairview Express Care is 1700 University Ave W, Saint Paul, Minnesota and phone number is () -.

Fairview Express Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1467159210. 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) 365-5000.

Contact Information

Fairview Express Care
2651 Hillcrest Dr Ste 302
Hudson
WI 54016-9919
(612) 365-5000
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameFairview Express Care
SpecialityClinic/Center
Location2651 Hillcrest Dr Ste 302, Hudson, Wisconsin
Authorized Official Name and PositionMaureen Ring (AO MANAGER PAYER RELATIONS)
Authorized Official Contact6126726740
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fairview Express Care
1700 University Ave W
Saint Paul
MN 55104-3727

Ph: () -		Fairview Express Care
2651 Hillcrest Dr Ste 302
Hudson
WI 54016-9919

Ph: (612) 365-5000

NPI Details:

NPI Number1467159210
Provider Enumeration Date02/13/2023
Last Update Date02/13/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3375645179
Medicare Enrollment IDO20220927002862

Medical Identifiers

Medical identifiers for Fairview Express Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467159210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/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. Fairview Express Care acts as a billing entity for following providers:
Provider NameKerith Lijewski
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093708588
PECOS PAC ID: 2961483763
Enrollment ID: I20040527000499
Provider NamePuneet S Cheema
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841246246
PECOS PAC ID: 3072539030
Enrollment ID: I20051019000175
Provider NameDebra M Sanders
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1770696668
PECOS PAC ID: 1951305986
Enrollment ID: I20060906000411
Provider NameJeffrey David Larsen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104819622
PECOS PAC ID: 3173424538
Enrollment ID: I20100715000089
Provider NameMichael David Garr
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1457325904
PECOS PAC ID: 9537066196
Enrollment ID: I20101101000250
Provider NameThomas Hagge Johnson
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1730148560
PECOS PAC ID: 1153228713
Enrollment ID: I20101101000384
Provider NameMitchell A Timmons
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1285806182
PECOS PAC ID: 3173791621
Enrollment ID: I20110727000626
Provider NameElissa M Downs
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1104116722
PECOS PAC ID: 5698070449
Enrollment ID: I20171017002787
Provider NameMindy Kaye Dombrovski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1093033805
PECOS PAC ID: 0345373239
Enrollment ID: I20191001000016
Provider NameJustin Halbe
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1356667984
PECOS PAC ID: 8123347713
Enrollment ID: I20200127002424
Provider NameRachel Claire Sixberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215648712
PECOS PAC ID: 0547631202
Enrollment ID: I20230118000114
Provider NameLeslie Bryan Forgosh
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1154305738
PECOS PAC ID: 0749279628
Enrollment ID: I20230808001477
Provider NameBenjamin Joseph Smith
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1326579517
PECOS PAC ID: 7517238520
Enrollment ID: I20230912001215
Provider NameJulia Steinberger
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1851310213
PECOS PAC ID: 5799871992
Enrollment ID: I20230912002841
Provider NameKim Loria
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1487638060
PECOS PAC ID: 9537158423
Enrollment ID: I20230920000363
Provider NameBrent Edward White
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1902163892
PECOS PAC ID: 6709019474
Enrollment ID: I20230926002436
Provider NameFranz-josef Reisdorf
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1942269154
PECOS PAC ID: 5496652067
Enrollment ID: I20231114000794
Provider NameErick Enrique Jimenez Granados
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1487036851
PECOS PAC ID: 6800194358
Enrollment ID: I20231208000263
Provider NameJames Scott Davis
Provider TypePractitioner - Marriage And Family Therapist
Provider IdentifiersNPI Number: 1902012016
PECOS PAC ID: 8426408147
Enrollment ID: I20231221000959
Provider NameStacie Marie Knutson
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1720304439
PECOS PAC ID: 8820394299
Enrollment ID: I20240102003353
Provider NameTimothy Leland Shih
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1023351830
PECOS PAC ID: 1850600032
Enrollment ID: I20240130002701

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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.