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

is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Saint Paul, Minnesota. The current practice location for is 200 University Ave E, Saint Paul, Minnesota. For appointments, you can reach them via phone at (651) 291-2848. The mailing address for is 200 University Ave E, Saint Paul, Minnesota and phone number is (651) 291-2848.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1851450894. 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) 291-2848.

Contact Information


	200 University Ave E Saint Paul MN 55101-2507
	(651) 291-2848
	(651) 325-2174

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	200 University Ave E, Saint Paul, Minnesota
Authorized Official Name and Position	Patrick Nolan (CFO)
Authorized Official Contact	6513123105
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848	200 University Ave E Saint Paul MN 55101-2507 Ph: (651) 291-2848

NPI Details:

NPI Number	1851450894
Provider Enumeration Date	12/06/2006
Last Update Date	12/13/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	0547169211
Medicare Enrollment ID	O20100930045842

Medical Identifiers

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

Identifier	Type	State	Issuer
1851450894	NPI	-	NPPES
11003700	Medicaid	WI
41683100	Medicaid	WI
473904840	Medicaid	MI
351155000	Medicaid	MN
9163630	Medicaid	SD
0992263	Medicaid	IA
1111HGI	Other		BLUE CROSS BLUE SHIELD
498935487	Medicaid	MI
723998000	Medicaid	MN
01267	Medicaid	ND
41754000	Medicaid	WI
51199	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
332B00000X	Durable Medical Equipment & Medical Supplies	(Minnesota)	Secondary
332BC3200X	Durable Medical Equipment & Medical Supplies - Customized Equipment	(Minnesota)	Secondary
335E00000X	Prosthetic/orthotic Supplier	(Minnesota)	Secondary

Reviews and Comments

Clinic/Center in Saint Paul, MN

Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300 Saint Clair Ave, Saint Paul, MN 55105 Phone: 651-291-1269 Fax: 651-291-0957
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 Robie St E, Saint Paul, MN 55107 Phone: 651-602-7976 Fax: 651-602-7977
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Centennial Dr, Suite 100, Saint Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4520 Centerville Rd, Saint Paul, MN 55127 Phone: 651-348-8851
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Exchange St W, Suite # 420, Saint Paul, MN 55102 Phone: 651-232-4125 Fax: 651-232-4127
Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Lexington Pkwy N, Saint Paul, MN 55104 Phone: 651-632-2194 Fax: 651-632-2195
Premiere Mental Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102 Phone: 763-913-8125

- Medicare Primary Care in Saint Paul, MN