Bluecrescent Urgent Care Llc - Medicare Primary Care in Minneapolis, MN

Bluecrescent Urgent Care Llc is a medicare enrolled primary clinic (Clinic/center - Urgent Care) in Minneapolis, Minnesota. The current practice location for Bluecrescent Urgent Care Llc is 3809 42nd Ave S Ste 100, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 405-3554. The mailing address for Bluecrescent Urgent Care Llc is 401 1st Ave Ne Unit 659, Minneapolis, Minnesota and phone number is () -.

Bluecrescent Urgent Care Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1053034421. 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) 405-3554.

Contact Information

Bluecrescent Urgent Care Llc
3809 42nd Ave S Ste 100
Minneapolis
MN 55406-3503
(612) 405-3554
Not Available

Primary Care Clinic Profile

Full NameBluecrescent Urgent Care Llc
SpecialityClinic/Center
Location3809 42nd Ave S Ste 100, Minneapolis, Minnesota
Authorized Official Name and PositionKhadra Muse (NURSE PRACTITIONER)
Authorized Official Contact6124053554
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bluecrescent Urgent Care Llc
401 1st Ave Ne Unit 659
Minneapolis
MN 55413-3161

Ph: () -
Bluecrescent Urgent Care Llc
3809 42nd Ave S Ste 100
Minneapolis
MN 55406-3503

Ph: (612) 405-3554

NPI Details:

NPI Number1053034421
Provider Enumeration Date09/21/2022
Last Update Date09/21/2022

Medicare PECOS Information:

Medicare PECOS PAC ID6608231659
Medicare Enrollment IDO20230427000726

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Medical Identifiers

Medical identifiers for Bluecrescent Urgent Care Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053034421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Primary
363L00000XNurse Practitioner (* (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. Bluecrescent Urgent Care Llc acts as a billing entity for following providers:
Provider NameAbdulqadir A Ahmad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366707556
PECOS PAC ID: 4880984475
Enrollment ID: I20161007001522

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Provider NameKhadra Muse
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013470715
PECOS PAC ID: 1557754652
Enrollment ID: I20220214001999

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