| Mohamed A Hagi Aden, MD | |
|
640 Jackson Street, St Paul, MN 55101-2502 | |
| (123) 123-1234 | |
| (651) 254-3662 |
| Full Name | Mohamed A Hagi Aden |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 22 Years |
| Location | 640 Jackson Street, 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 |
|---|---|---|---|
| 1093786469 | NPI | - | NPPES |
| 274661100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 47930 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Lakeview Memorial Hospital | Stillwater, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regency Hospital Of Minneapolis, Llc | 0345203840 | 21 |
| Group Health Plan Inc | 1759293954 | 1487 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Regency Hospital Of Minneapolis, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770585382 PECOS PAC ID: 0345203840 Enrollment ID: O20050328000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Mohamed A Hagi Aden, MD 8100 34 Ave S, Mc21110q, Bloomington, MN 55425-1672 Ph: (123) 123-1234 | Mohamed A Hagi Aden, MD 640 Jackson Street, St Paul, MN 55101-2502 Ph: (123) 123-1234 |
William Robert Jahnke Ii, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 360 Sherman St, Ste 250, St Paul, MN 55102 Phone: 651-772-6251 Fax: 651-224-9661 | |
Dr. Neil P Phelan, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2550 University Ave West, Suite 423 South, St Paul, MN 55114 Phone: 612-870-5557 Fax: 612-870-5857 | |
Dr. Josaleen Muzquiz Davis, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1055 Westgate Dr, Ste 100, St Paul, MN 55114 Phone: 122-627-8006 | |
Randolph W Hurley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc 11503f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Jeffrry P Jaffe, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11530f, St Paul, MN 55101 Phone: 651-254-3448 Fax: 651-254-3470 | |
Ghaziuddin A Qadri, MBBS Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Mc11503f, St Paul, MN 55101 Phone: 123-123-1234 Fax: 651-254-3662 |