| Sandra Ogato, PA-C | |
|
18275 Kenrick Ave, Lakeville, MN 55044-7306 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Sandra Ogato |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 18275 Kenrick Ave, Lakeville, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023526506 | NPI | - | NPPES |
| 1023526506 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12676 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 799 |
| Healtheast Medical Research Institute | 3971407636 | 665 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Ogato, PA-C 19131 Harappa Ave, Lakeville, MN 55044-4776 Ph: Not Available | Sandra Ogato, PA-C 18275 Kenrick Ave, Lakeville, MN 55044-7306 Ph: (866) 389-2727 |
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