Shabana Siddiqui, - Medicare Family Practice in Burnsville, MN

Shabana Siddiqui, is a medicare enrolled "Family Medicine" physician in Burnsville, Minnesota. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Park Nicollet Clinic and her current practice location is 14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8700.

Shabana Siddiqui is licensed to practice in Minnesota (license number 47275) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275510794.

Contact Information

Shabana Siddiqui,
14000 Fairview Dr, Park Nicollet Clinic - Burnsville,
Burnsville, MN 55337-5713
(952) 993-8700
(952) 993-8715



Physician's Profile

Full NameShabana Siddiqui
GenderFemale
SpecialityFamily Practice
Experience26 Years
Location14000 Fairview Dr, Burnsville, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Shabana Siddiqui graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1275510794
  • Provider Enumeration Date: 12/27/2005
  • Last Update Date: 07/02/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517910508
  • Enrollment ID: I20050302000453

Medical Identifiers

Medical identifiers for Shabana Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275510794NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 47275 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Park Nicollet Clinic79118194381529

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shabana Siddiqui allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shabana Siddiqui is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shabana Siddiqui,
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
Shabana Siddiqui,
14000 Fairview Dr, Park Nicollet Clinic - Burnsville,
Burnsville, MN 55337-5713

Ph: (952) 993-8700

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Family Medicine Doctors in Burnsville, MN

Dr. Geeta L Balkissoon, MB BS
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Fairview Dr, Burnsville, MN 55337
Phone: 952-993-8700    
David Gray, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337
Phone: 952-428-0200    
Dr. Albert Yeo, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337
Phone: 952-892-2650    
Michael C Magnuson, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 625 E Nicollet Blvd, Suite 100, Burnsville, MN 55337
Phone: 952-435-0303    Fax: 952-892-5166
Venancio T Jo, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337
Phone: 952-428-0200    
Tim A Meyer, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 14000 Nicollet Ave, Burnsville Medical Center, Burnsville, MN 55337
Phone: 952-985-8255    Fax: 952-985-8299

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