Crown Medical Support Services Clinic - Medicare Primary Care in Minneapolis, MN

Crown Medical Support Services Clinic is a medicare enrolled primary clinic (Clinic/center - Community Health) in Minneapolis, Minnesota. The current practice location for Crown Medical Support Services Clinic is 1925 1st Ave S, Minneapolis, Minnesota. For appointments, you can reach them via phone at (612) 978-3783. The mailing address for Crown Medical Support Services Clinic is 1925 1st Ave S, Minneapolis, Minnesota and phone number is (612) 978-3783.

Crown Medical Support Services Clinic is licensed to practice in Minnesota (license number 36657). The clinic also participates in the medicare program and its NPI number is 1730546672. 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) 978-3783.

Contact Information

Crown Medical Support Services Clinic
1925 1st Ave S
Minneapolis
MN 55403-3724
(612) 978-3783
(612) 872-4343

Primary Care Clinic Profile

Full NameCrown Medical Support Services Clinic
SpecialityClinic/Center
Location1925 1st Ave S, Minneapolis, Minnesota
Authorized Official Name and PositionJoyce Ihioma Onyekaba (MEDICAL DIRECTOR)
Authorized Official Contact6129783783
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crown Medical Support Services Clinic
1925 1st Ave S
Minneapolis
MN 55403-3724

Ph: (612) 978-3783
Crown Medical Support Services Clinic
1925 1st Ave S
Minneapolis
MN 55403-3724

Ph: (612) 978-3783

NPI Details:

NPI Number1730546672
Provider Enumeration Date01/22/2016
Last Update Date02/26/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5597050542
Medicare Enrollment IDO20160830000899

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Medical Identifiers

Medical identifiers for Crown Medical Support Services Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730546672NPI-NPPES
957449200MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health 36657 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Crown Medical Support Services Clinic acts as a billing entity for following providers:
Provider NameNha P Nguyen
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1578595617
PECOS PAC ID: 3577467596
Enrollment ID: I20031121000373

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Provider NameJoyce I Onyekaba
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720045271
PECOS PAC ID: 1850371238
Enrollment ID: I20040727000136

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Provider NameSumitra L Dorner
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962692798
PECOS PAC ID: 8628262490
Enrollment ID: I20101105000388

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Provider NameSarah B Truso
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871034645
PECOS PAC ID: 7113203563
Enrollment ID: I20170419001251

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Clinic/Center in Minneapolis, MN

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