| Golden Care Pllc | |
|
4142 Shoreline Dr Spring Park MN 55384-9629 | |
| (866) 305-0622 | |
| Not Available |
| Full Name | Golden Care Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4142 Shoreline Dr, Spring Park, Minnesota |
| Authorized Official Name and Position | Damon Kenton (OWNER) |
| Authorized Official Contact | 6122429517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Care Pllc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: () - | Golden Care Pllc 4142 Shoreline Dr Spring Park MN 55384-9629 Ph: (866) 305-0622 |
| NPI Number | 1598480832 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Medicare PECOS PAC ID | 8325418254 |
|---|---|
| Medicare Enrollment ID | O20230110001341 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598480832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Zaid Fadul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740593797 PECOS PAC ID: 4385885276 Enrollment ID: I20190416001898 |
| Provider Name | Ajit Nandkumar Chary |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396184214 PECOS PAC ID: 0143453043 Enrollment ID: I20230111000204 |
Population Health Management Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4142 Shoreline Dr, Spring Park, MN 55384 Phone: 866-305-0622 | |
Novus Healthcare Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Shoreline Dr, Spring Park, MN 55384 Phone: 612-242-9517 | |
Senior Care Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Shoreline Dr, Spring Park, MN 55384 Phone: 952-923-1028 | |
Ridgeview Clinics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7897 | |
Ridgeview Westonka Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4695 Shoreline Dr, Spring Park, MN 55384 Phone: 952-442-7890 Fax: 952-442-7892 | |
Golden Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4142 Shoreline Dr, Spring Park, MN 55384 Phone: 612-470-4400 |