Leap Pediatric And Adolescent Care | |
1747 Summit Ave Saint Paul MN 55105-1833 | |
(651) 242-2849 | |
Not Available |
Full Name | Leap Pediatric And Adolescent Care |
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Speciality | Clinic/Center |
Location | 1747 Summit Ave, Saint Paul, Minnesota |
Authorized Official Name and Position | Julia Joseph-di Caprio (PRESIDENT AND FOUNDER) |
Authorized Official Contact | 6512422849 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Leap Pediatric And Adolescent Care 1747 Summit Ave Saint Paul MN 55105-1833 Ph: (651) 242-2849 | Leap Pediatric And Adolescent Care 1747 Summit Ave Saint Paul MN 55105-1833 Ph: (651) 242-2849 |
NPI Number | 1457082919 |
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Provider Enumeration Date | 06/23/2022 |
Last Update Date | 06/27/2022 |
Medicare PECOS PAC ID | 4284002106 |
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Medicare Enrollment ID | O20221128002092 |
Identifier | Type | State | Issuer |
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1457082919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Julia P Joseph-dicaprio |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164433454 PECOS PAC ID: 9234033820 Enrollment ID: I20051027000115 |
Provider Name | Peter B Scal |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1619077484 PECOS PAC ID: 2567654981 Enrollment ID: I20101004001160 |
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 |