| Hassan Hussein Sirat, RN | |
| 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 | |
| (651) 666-0846 | |
| Not Available | 
| Full Name | Hassan Hussein Sirat | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1068 Raymond Ave Apt 204, Saint Paul, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639736150 | NPI | - | NPPES | 
| 389359 | Medicaid | MN | |
| 2331230 | Medicaid | MN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WH0200X | Registered Nurse - Home Health | 2331230 (Minnesota) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 8162 (Minnesota) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20200116002549 | 
| Entity Name | Regional Family Practice Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679141378 PECOS PAC ID: 9739578535 Enrollment ID: O20211117001072 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Hassan Hussein Sirat, RN 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 Ph: (651) 666-0846 | Hassan Hussein Sirat, RN 1068 Raymond Ave Apt 204, Saint Paul, MN 55108-1535 Ph: (651) 666-0846 | 
| Leslie Ewens, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 671 Vandalia St, Saint Paul, MN 55114 Phone: 651-698-2406 | |
| Michelle Coleen Hicks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Wabasha St S, Saint Paul, MN 55107 Phone: 651-293-8100 Fax: 651-293-8106 | |
| Sadie Marie Nelson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 300, Saint Paul, MN 55102 Phone: 651-241-5000 Fax: 651-240-5511 | |
| Mrs. Sarah Lynne Potts, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N Ste 400, Saint Paul, MN 55102 Phone: 651-241-8000 | |
| Doreatha J Baker, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 347 Smith Ave N, Saint Paul, MN 55102 Phone: 651-220-6708 Fax: 651-220-6589 | |
| Jeanne Rancone,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-222-1816 Fax: 651-602-7517 | |
| Amy F Larson, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-495-6300 Fax: 952-967-7616 |