Interventional Pain Center, Pllc. is a
Physical Medicine & Rehabilitation - Pain Medicine based in Minnetonka, Minnesota. Interventional Pain Center, Pllc. is licensed to practice in Minnesota (license number 44760) and their current practice location is
10653 Wayzata Blvd, Suite 200, Minnetonka, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(952) 236-7610.
NPI number for Interventional Pain Center, Pllc. is 1891137220 and their current mailing address is 10653 Wayzata Blvd, Suite 200, Minnetonka, Minnesota. Interventional Pain Center, Pllc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1891137220.
Healthcare Provider's Profile
Full Name | Interventional Pain Center, Pllc. |
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Type | Facility |
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Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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Location | 10653 Wayzata Blvd, Minnetonka, Minnesota |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1891137220
- Provider Enumeration Date: 07/26/2013
- Last Update Date: 06/17/2014
Medical Identifiers
Medical identifiers for Interventional Pain Center, Pllc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891137220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 3852 (Minnesota) | Secondary |
207X00000X | Orthopaedic Surgery | 34220 (Minnesota) | Secondary |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 44760 (Minnesota) | Primary |
2084N0400X | Psychiatry & Neurology - Neurology | 24316 (Minnesota) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 42871 (Minnesota) | Secondary |
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. Interventional Pain Center, Pllc. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Interventional Pain Center, Pllc. 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1528 Ph: (952) 236-7610 | Interventional Pain Center, Pllc. 10653 Wayzata Blvd, Suite 200, Minnetonka, MN 55305-1528 Ph: (952) 236-7610 |
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