- Medicare Primary Care in Saint Paul, MN

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is a medicare enrolled primary clinic (Internal Medicine) in Saint Paul, Minnesota. The current practice location for is 2004 Ford Pkwy, Saint Paul, Minnesota. For appointments, you can reach them via phone at (612) 256-8225. The mailing address for is 2004 Ford Pkwy, Saint Paul, Minnesota and phone number is (612) 256-8225.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1326775420. 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) 256-8225.

Contact Information

2004 Ford Pkwy
Saint Paul
MN 55116-1931
(612) 256-8225
(612) 457-0216

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityInternal Medicine
Location2004 Ford Pkwy, Saint Paul, Minnesota
Authorized Official Name and PositionThomas F Brewer (PRESIDENT)
Authorized Official Contact8882901209
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2004 Ford Pkwy
Saint Paul
MN 55116-1931

Ph: (612) 256-8225
2004 Ford Pkwy
Saint Paul
MN 55116-1931

Ph: (612) 256-8225

NPI Details:

NPI Number1326775420
Provider Enumeration Date08/08/2022
Last Update Date08/07/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6507234820
Medicare Enrollment IDO20221117002048

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326775420NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Primary
363LP2300XNurse Practitioner - Primary Care (* (Not Available))Secondary

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 NameShelley L Zaun
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225098353
PECOS PAC ID: 3375431752
Enrollment ID: I20040308000691
Provider NameHynatu L Williamson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1508962440
PECOS PAC ID: 4284724147
Enrollment ID: I20071214000603
Provider NameSarah M Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063645224
PECOS PAC ID: 9638211196
Enrollment ID: I20100121000638
Provider NameBrenda J Novacinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851669113
PECOS PAC ID: 8527222900
Enrollment ID: I20120614000769
Provider NameMarissa D Drake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124438734
PECOS PAC ID: 0143440933
Enrollment ID: I20140929002391
Provider NameElizabeth F Severance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700290319
PECOS PAC ID: 7810211877
Enrollment ID: I20150121002193
Provider NameJill L Titze
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487969820
PECOS PAC ID: 0446420616
Enrollment ID: I20150630000395
Provider NameJennifer R Nelson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245615194
PECOS PAC ID: 0941516728
Enrollment ID: I20150825005080
Provider NameYankuba A Sanyang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275068074
PECOS PAC ID: 4284904160
Enrollment ID: I20170726000535
Provider NameTara Lynn Mccullough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538648811
PECOS PAC ID: 1658623277
Enrollment ID: I20181010000668
Provider NameLauren Nasvik
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386163434
PECOS PAC ID: 2668703323
Enrollment ID: I20191010000417
Provider NameJulie Anne Manco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740690726
PECOS PAC ID: 2668696022
Enrollment ID: I20211122002599
Provider NameNaomi B Ongeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588312458
PECOS PAC ID: 1850775362
Enrollment ID: I20220901001877
Provider NameEmmanuela A Enyinnaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346958642
PECOS PAC ID: 6901278647
Enrollment ID: I20230207001388
Provider NameLeah Brittany Carver
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184400210
PECOS PAC ID: 6507213865
Enrollment ID: I20231108000100
Provider NameDarci Ann Wilkinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811769896
PECOS PAC ID: 1254788599
Enrollment ID: I20231108003121
Provider NameJudy Worrell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609434232
PECOS PAC ID: 6103274709
Enrollment ID: I20231120003373

Reviews and Comments


Internal Medicine in Saint Paul, MN


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Phone: 651-291-1269    Fax: 651-291-0957

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Premiere Mental Health Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 360 Sherman St Ste 290, Saint Paul, MN 55102
Phone: 763-913-8125    

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.