| Joseph J Saccoman, MD | |
|
2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3086 | |
| (651) 777-7414 | |
| (651) 748-5839 |
| Full Name | Joseph J Saccoman |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 35 Years |
| Location | 2601 Centennial Dr, North St Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487665527 | NPI | - | NPPES |
| 167895700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34670 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Healtheast Home Care | Maplewood, MN | Home health agency |
| Fairview Home Care And Hospice | Minneapolis, MN | Home health agency |
| University Of Minnesota Medical Center, Fairview | Minneapolis, MN | Hospital |
| Healtheast St John's Hospital | Maplewood, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Family Healthservices Minnesota Pa Dba Entira Family Clinics | 1355369018 | 53 |
| Entity Name | Family Healthservices Minnesota Pa Dba Entira Family Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639359359 PECOS PAC ID: 1355369018 Enrollment ID: O20071215000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Saccoman, MD 2025 Sloan Pl, Suite 35, Saint Paul, MN 55117-2007 Ph: (651) 772-1572 | Joseph J Saccoman, MD 2601 Centennial Dr, Suite 100, North St Paul, MN 55109-3086 Ph: (651) 777-7414 |
Mark Ww Bogel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Centennial Dr Ste 100, North St Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Ms. Nicole Rae Vik, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2601 Centennial Dr, Suite 100, North St Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 | |
Steven W Hallstrom, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 Centennial Dr Ste 100, North St Paul, MN 55109 Phone: 651-777-7414 Fax: 651-748-5839 |