<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 1821 University Ave W Ste 107-12, Saint Paul, Minnesota. For appointments, you can reach them via phone at (952) 607-0217. The mailing address for is 9700 Waterstone Pl Apt 220, Minnetonka, Minnesota and phone number is (952) 607-0217.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1649035213. 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 (952) 607-0217.

Contact Information


	1821 University Ave W Ste 107-12 Saint Paul MN 55104-0049
	(952) 607-0217
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	1821 University Ave W Ste 107-12, Saint Paul, Minnesota
Authorized Official Name and Position	Noussaiba Ayour (FOUNDER)
Authorized Official Contact	9526070217
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
9700 Waterstone Pl Apt 220 Minnetonka MN 55305-7505 Ph: (952) 607-0217	1821 University Ave W Ste 107-12 Saint Paul MN 55104-0049 Ph: (952) 607-0217

NPI Details:

NPI Number	1649035213
Provider Enumeration Date	02/14/2024
Last Update Date	12/27/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	5890226088
Medicare Enrollment ID	O20240927003125

Medical Identifiers

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

Identifier	Type	State	Issuer
1649035213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QM1300X	Clinic/center - Multi-specialty	(* (Not Available))	Primary
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Secondary

Reviews and Comments

Clinic/Center in Saint Paul, MN

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- Medicare Primary Care in Saint Paul, MN