<unavail> in Minneapolis, MN - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Minneapolis, Minnesota. The current practice location for is 4243 4th Ave S, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 822-9030. The mailing address for is 4243 4th Ave S, Minneapolis, Minnesota and phone number is (612) 821-2799.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1679690952. 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) 822-9030.

Contact Information


	4243 4th Ave S Minneapolis MN 55409-2113
	(612) 822-9030
	(612) 821-2818

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	4243 4th Ave S, Minneapolis, Minnesota
Authorized Official Name and Position	William Henry Tendle (EXECUTIVE DIRECTOR-CEO)
Authorized Official Contact	6128212800
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
4243 4th Ave S Minneapolis MN 55409-2113 Ph: (612) 821-2799	4243 4th Ave S Minneapolis MN 55409-2113 Ph: (612) 822-9030

NPI Details:

NPI Number	1679690952
Provider Enumeration Date	03/23/2007
Last Update Date	04/30/2014

Medicare PECOS Information:

Medicare PECOS PAC ID	8921027228
Medicare Enrollment ID	O20100622000332

Medical Identifiers

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

Identifier	Type	State	Issuer
1679690952	NPI	-	NPPES
515753600	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Reviews and Comments

Family Medicine in Minneapolis, MN

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- Medicare Primary Care in Minneapolis, MN