Dr Michelle A Ugalde, PT-DPT is a medicare enrolled "Physical Medicine & Rehabilitation - Neuromuscular Medicine" provider in St. Louis Park, Minnesota. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Park Nicollet Clinic and her current practice location is
1660 Highway 100 South, Suite 145, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 456-6160.
Dr Michelle A Ugalde is licensed to practice in Minnesota (license number 9157) 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 1831440650.
Healthcare Provider's Profile
| Full Name | Dr Michelle A Ugalde |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 12 Years |
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| Location | 1660 Highway 100 South, St. Louis Park, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michelle A Ugalde graduated from medical school in 2012
NPI Data:
- NPI Number: 1831440650
- Provider Enumeration Date: 09/20/2012
- Last Update Date: 04/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 5193976090
- Enrollment ID: I20121126000525
Medical Identifiers
Medical identifiers for Dr Michelle A Ugalde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831440650 | NPI | - | NPPES |
| 650002921 | Other | MN | MEDICARE PTAN |
| C09200 | Other | MN | GROUP PTAN |
| C09271 | Other | MN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 9157 (Minnesota) | Secondary |
| 2081N0008X | Physical Medicine & Rehabilitation - Neuromuscular Medicine | 9157 (Minnesota) | Primary |
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. Dr Michelle A Ugalde allows following entities to bill medicare on her behalf.
| Provider Name | Park Nicollet Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Dr Michelle A Ugalde 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 |
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Dr Michelle A Ugalde, PT-DPT
1660 Highway 100 South, Suite 145,
St. Louis Park, MN 55416-1562
Ph: (952) 456-6160 | Dr Michelle A Ugalde, PT-DPT
1660 Highway 100 South, Suite 145,
St. Louis Park, MN 55416-1562
Ph: (952) 456-6160 |
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