Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, - Medicare Primary Care in Buffalo, MN

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Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, is a medicare enrolled primary clinic (Clinic/center - Multi-specialty) in Buffalo, Minnesota. The current practice location for Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, is 1700 Highway 25 N, Buffalo, Minnesota. For appointments, you can reach them via phone at (763) 682-1313. The mailing address for Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, is 1700 Highway 25 N, Buffalo, Minnesota and phone number is (763) 682-1313.

Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, is licensed to practice in Minnesota (license number 520). The clinic also participates in the medicare program and its NPI number is 1184664674. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (763) 682-1313.

Contact Information

Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic,
1700 Highway 25 N
Buffalo
MN 55313-1930
(763) 682-1313
(763) 684-3790

Map and Direction


Primary Care Clinic Profile

Full NameBuffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic,
SpecialityClinic/Center
Location1700 Highway 25 N, Buffalo, Minnesota
Authorized Official Name and PositionJason S Halvorson (PRESIDENT)
Authorized Official Contact7632952921
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic,
1700 Highway 25 N
Buffalo
MN 55313-1930

Ph: (763) 682-1313		Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic,
1700 Highway 25 N
Buffalo
MN 55313-1930

Ph: (763) 682-1313

NPI Details:

NPI Number1184664674
Provider Enumeration Date06/07/2006
Last Update Date08/12/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1153233796
Medicare Enrollment IDO20031103000458

Medical Identifiers

Medical identifiers for Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184664674NPI-NPPES
222310400MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM1300XClinic/center - Multi-specialty 520 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Buffalo Clinic, Monticello Clinic, Albertville/st.michael Clinic, acts as a billing entity for following providers:
Provider NameArati K Gudage
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154347953
PECOS PAC ID: 6608778725
Enrollment ID: I20040121000202
Provider NameDale E Lawrence
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760403562
PECOS PAC ID: 6305737297
Enrollment ID: I20040322000667
Provider NameJason S Halvorson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033139159
PECOS PAC ID: 2860304300
Enrollment ID: I20040430000145
Provider NameOsitadimma C Ugwu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013989417
PECOS PAC ID: 0042281628
Enrollment ID: I20040805000792
Provider NameMichael D Oborsky
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1053477406
PECOS PAC ID: 3173504867
Enrollment ID: I20041115000059
Provider NameJoy L Westerdahl
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922089937
PECOS PAC ID: 1951293802
Enrollment ID: I20050523000184
Provider NameCorey L Martin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1447272760
PECOS PAC ID: 8729071196
Enrollment ID: I20050610000126
Provider NameTeresa E Wrobbel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1912916933
PECOS PAC ID: 8224940762
Enrollment ID: I20050711000161
Provider NameJoseph Kyle Mahoney
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1245244003
PECOS PAC ID: 5193758977
Enrollment ID: I20050913000421
Provider NameDeborah L Mahoney
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376565176
PECOS PAC ID: 3375500291
Enrollment ID: I20051229000136
Provider NameMarisa D Moline
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962425082
PECOS PAC ID: 0749296705
Enrollment ID: I20060228000520
Provider NameKari J Fabian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700816378
PECOS PAC ID: 7810063864
Enrollment ID: I20080827000727
Provider NameFranklin O Anderson
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235303793
PECOS PAC ID: 0446314991
Enrollment ID: I20090127000617
Provider NameMark D Nelson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1487656344
PECOS PAC ID: 1052476439
Enrollment ID: I20090616000334
Provider NameNatalie R Roeser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497928337
PECOS PAC ID: 4385780154
Enrollment ID: I20091008000060
Provider NameJolyn S Halvorson
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1659391779
PECOS PAC ID: 3476680935
Enrollment ID: I20100415000255
Provider NameGlenn G Nemec
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1578578068
PECOS PAC ID: 1153233606
Enrollment ID: I20100511000077
Provider NameKristina A Loken
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1609898444
PECOS PAC ID: 3173613643
Enrollment ID: I20100511000206
Provider NameJanice C Pletsch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1336155928
PECOS PAC ID: 0941112494
Enrollment ID: I20100511000313
Provider NameRajan Jhanjee
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1871513929
PECOS PAC ID: 8729178298
Enrollment ID: I20100511000658
Provider NameGlen A Deutsch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134148851
PECOS PAC ID: 2365354909
Enrollment ID: I20100511000690
Provider NameBernice M Kolb
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740200625
PECOS PAC ID: 5991617433
Enrollment ID: I20100511000762
Provider NameCynthia L Larson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1013938802
PECOS PAC ID: 1355253899
Enrollment ID: I20100922000910
Provider NameWilliam J Affeldt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1013950203
PECOS PAC ID: 4587856968
Enrollment ID: I20101004000692
Provider NameMegan Tiffany Otis
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1437392586
PECOS PAC ID: 3779752464
Enrollment ID: I20110815000564
Provider NameMatthew F Hoffman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1780848440
PECOS PAC ID: 5395916415
Enrollment ID: I20110922000037
Provider NameSarah R Janzen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831472661
PECOS PAC ID: 2365617511
Enrollment ID: I20111216000135
Provider NameAbby Rae Labounty
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1528359452
PECOS PAC ID: 9032365101
Enrollment ID: I20120806000020
Provider NameAnne M Pribyl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447506126
PECOS PAC ID: 8527218643
Enrollment ID: I20121026000351
Provider NameJames Christopher Lorge
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1376749192
PECOS PAC ID: 7719134865
Enrollment ID: I20130827000196
Provider NameDonnetta L Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922436914
PECOS PAC ID: 5799912895
Enrollment ID: I20131217001429
Provider NameTeresa J Devine
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255771911
PECOS PAC ID: 3375769110
Enrollment ID: I20140730002710
Provider NameLynn N Lampi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801202932
PECOS PAC ID: 5991027088
Enrollment ID: I20141126001256
Provider NameMallory L Gustin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437542016
PECOS PAC ID: 1456670066
Enrollment ID: I20150504001004
Provider NameCarla M Schultz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003100595
PECOS PAC ID: 7517257157
Enrollment ID: I20160609001507
Provider NameChristopher D Elness
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1649622200
PECOS PAC ID: 8426337205
Enrollment ID: I20161118000658
Provider NameJessica A Borgstrom
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1467994962
PECOS PAC ID: 0840572236
Enrollment ID: I20170119001657
Provider NameDanielle M Schirm
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447513072
PECOS PAC ID: 7911141858
Enrollment ID: I20170726001928
Provider NameHeidi Renae Nichol
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538514658
PECOS PAC ID: 9931489895
Enrollment ID: I20170812000338
Provider NameBeth D Brinkman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558717587
PECOS PAC ID: 1850683699
Enrollment ID: I20180103001681
Provider NameLindsey C Latteman Fensch
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1891108627
PECOS PAC ID: 2163771262
Enrollment ID: I20180823000347
Provider NameAmanda R Zehrer
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1699174508
PECOS PAC ID: 4981954633
Enrollment ID: I20180830002023
Provider NameEmily M Lawrence
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124515986
PECOS PAC ID: 2567710270
Enrollment ID: I20190808001353
Provider NameKari J Standfuss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750941324
PECOS PAC ID: 1658609946
Enrollment ID: I20190823003005
Provider NameJacquelyn Darlene Harman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992233993
PECOS PAC ID: 8022388966
Enrollment ID: I20200915000040
Provider NameCory R Simning
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689171894
PECOS PAC ID: 9032466453
Enrollment ID: I20210825003818
Provider NameCassandra Marie Hirman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255116554
PECOS PAC ID: 1951758200
Enrollment ID: I20231108003264

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.