Shabana Siddiqui, in Burnsville, MN - Medicare Family Practice

Shabana Siddiqui, is a medicare enrolled "Family Medicine" physician in Burnsville, Minnesota. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Park Nicollet Clinic and her current practice location is 14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-8700.

Shabana Siddiqui is licensed to practice in Minnesota (license number 47275) 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 1275510794.

Contact Information

	Shabana Siddiqui,
	14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, MN 55337-5713
	(952) 993-8700
	(952) 993-8715

Map and Direction

Physician's Profile

Full Name	Shabana Siddiqui
Gender	Female
Speciality	Family Practice
Experience	26 Years
Location	14000 Fairview Dr, Burnsville, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shabana Siddiqui graduated from medical school in 1998

NPI Data:

NPI Number: 1275510794
Provider Enumeration Date: 12/27/2005
Last Update Date: 07/02/2021

Medicare PECOS Information:

PECOS PAC ID: 7517910508
Enrollment ID: I20050302000453

Medical Identifiers

Medical identifiers for Shabana Siddiqui such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275510794	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	47275 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

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. Shabana Siddiqui allows following entities to bill medicare on her behalf.

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

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. Shabana Siddiqui 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 Address	Practice Location Address
Shabana Siddiqui, 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Shabana Siddiqui, 14000 Fairview Dr, Park Nicollet Clinic - Burnsville, Burnsville, MN 55337-5713 Ph: (952) 993-8700

Reviews and Comments

Family Medicine Doctors in Burnsville, MN

Dr. Geeta L Balkissoon, MB BS Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8700
David Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200
Dr. Albert Yeo, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650
Michael C Magnuson, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 625 E Nicollet Blvd, Suite 100, Burnsville, MN 55337 Phone: 952-435-0303 Fax: 952-892-5166
Venancio T Jo, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Nicollet Ave Ste 100, Burnsville, MN 55337 Phone: 952-428-0200
Tim A Meyer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 14000 Nicollet Ave, Burnsville Medical Center, Burnsville, MN 55337 Phone: 952-985-8255 Fax: 952-985-8299

Shabana Siddiqui, - Medicare Family Practice in Burnsville, MN