Dr Sapna Prabhakaran, MD - Medicare Pediatric Medicine in Saint Paul, MN

Dr Sapna Prabhakaran, MD is a medicare enrolled "Pediatrics" physician in Saint Paul, Minnesota. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Fairview Express Care, Fairview Clinics and her current practice location is 1700 University Ave W, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 672-6000.

Dr Sapna Prabhakaran is licensed to practice in Minnesota (license number 70087) 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 1992938534.

Contact Information

Dr Sapna Prabhakaran, MD
1700 University Ave W,
Saint Paul, MN 55104-3727
(612) 672-6000
Not Available

Map and Direction




Physician's Profile

Full NameDr Sapna Prabhakaran
GenderFemale
SpecialityPediatric Medicine
Experience18 Years
Location1700 University Ave W, Saint Paul, 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:
  • Dr Sapna Prabhakaran graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1992938534
  • Provider Enumeration Date: 08/31/2009
  • Last Update Date: 11/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052717311
  • Enrollment ID: I20210913000194

Medical Identifiers

Medical identifiers for Dr Sapna Prabhakaran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992938534NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 253959 (New York)Secondary
208000000XPediatrics 70087 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791523
Fairview Clinics7113830142658

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. Dr Sapna Prabhakaran allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Clinics
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346432218
PECOS PAC ID: 7113830142
Enrollment ID: O20031106000516
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548

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. Dr Sapna Prabhakaran 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
Dr Sapna Prabhakaran, MD
1700 University Ave W,
Saint Paul, MN 55104-3727

Ph: () -
Dr Sapna Prabhakaran, MD
1700 University Ave W,
Saint Paul, MN 55104-3727

Ph: (612) 672-6000

Reviews and Comments


Pediatrics Doctors in Saint Paul, MN

Emily Marie Schaaf, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 University Ave E, Saint Paul, MN 55101
Phone: 651-578-5258    
Dr. Elizabeth Zorn, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 347 Smith Ave N Ste 505, Saint Paul, MN 55102
Phone: 512-206-2606    Fax: 651-220-7777
James Grinols, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108
Phone: 651-641-7021    Fax: 651-641-7151
Dr. Amy Rebecca Borden, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 345 Smith Ave N, Saint Paul, MN 55102
Phone: 651-220-6914    
Laurel E Cederberg, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Como Ave, Saint Paul, MN 55108
Phone: 651-641-6200    Fax: 651-641-6295
Dr. Richard Louis Baron, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1804 7th St W, Suite 200, Saint Paul, MN 55116
Phone: 651-227-7806    Fax: 651-256-6766
Kent W Wegmann, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 347 Smith Ave N, Saint Paul, MN 55102
Phone: 651-220-6789    Fax: 651-220-6807

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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