Roseville Eye Associates P.a. - Medicare Primary Care in St Louis Park, MN

Roseville Eye Associates P.a. is a medicare enrolled primary clinic (Clinic/center) in St Louis Park, Minnesota. The current practice location for Roseville Eye Associates P.a. is 3601 Park Center Blvd Apt 607, St Louis Park, Minnesota. For appointments, you can reach them via phone at (608) 513-0092. The mailing address for Roseville Eye Associates P.a. is 1790 Lexington Ave N, Roseville, Minnesota and phone number is (651) 488-6771.

Roseville Eye Associates P.a. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134682669. 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 (608) 513-0092.

Contact Information

Roseville Eye Associates P.a.
3601 Park Center Blvd Apt 607
St Louis Park
MN 55416-2562
(608) 513-0092
Not Available

Primary Care Clinic Profile

Full NameRoseville Eye Associates P.a.
SpecialityClinic/Center
Location3601 Park Center Blvd Apt 607, St Louis Park, Minnesota
Authorized Official Name and PositionKari Maffitt (OWNER)
Authorized Official Contact6085130092
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roseville Eye Associates P.a.
1790 Lexington Ave N
Roseville
MN 55113-6167

Ph: (651) 488-6771
Roseville Eye Associates P.a.
3601 Park Center Blvd Apt 607
St Louis Park
MN 55416-2562

Ph: (608) 513-0092

NPI Details:

NPI Number1134682669
Provider Enumeration Date04/11/2019
Last Update Date09/13/2019

Medicare PECOS Information:

Medicare PECOS PAC ID6507109642
Medicare Enrollment IDO20190514000261

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Medical Identifiers

Medical identifiers for Roseville Eye Associates P.a. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134682669NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Roseville Eye Associates P.a. acts as a billing entity for following providers:
Provider NameKristin R Swenson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770656845
PECOS PAC ID: 0143117721
Enrollment ID: I20040228000350

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Provider NameKari Linnae Maffitt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023498474
PECOS PAC ID: 4486931151
Enrollment ID: I20170505001266

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Provider NameEmily L Ellingson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356835748
PECOS PAC ID: 1456690858
Enrollment ID: I20190301001318

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