| Mouaffaa Tello, | |
|
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
| (952) 993-5000 | |
| Not Available |
| Full Name | Mouaffaa Tello |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 6500 Excelsior Blvd, St Louis Park, 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 |
|---|---|---|---|
| 1831622489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 69169 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Olivia Hospital & Clinic | Olivia, MN | Hospital |
| North Memorial Health | Robbinsdale, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hutchinson Health | 0345330072 | 122 |
| Healthpartners Rc | 5890126726 | 40 |
| Park Nicollet Clinic | 7911819438 | 1611 |
| 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 | Hutchinson Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695 |
| Entity Name | Healthpartners Rc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649470782 PECOS PAC ID: 5890126726 Enrollment ID: O20200618000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Mouaffaa Tello, 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000 | Mouaffaa Tello, 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000 |
Junqing Xin, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Methodist Hospitalist Program Suite 2-260, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Kayleigh Dittes, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 | |
Dr. Sara Ann Hoff, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000 |