Edina Sports And Family Medicine - Medicare Primary Care in Edina, MN

Edina Sports And Family Medicine is a medicare enrolled primary clinic (Family Medicine) in Edina, Minnesota. The current practice location for Edina Sports And Family Medicine is 7701 York Ave S Ste 300, Edina, Minnesota. For appointments, you can reach them via phone at (952) 926-6489. The mailing address for Edina Sports And Family Medicine is 7701 York Ave S Ste 300, Edina, Minnesota and phone number is (952) 926-6489.

Edina Sports And Family Medicine is licensed to practice in Minnesota (license number 37465). The clinic also participates in the medicare program and its NPI number is 1215010335. 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 (952) 926-6489.

Contact Information

Edina Sports And Family Medicine
7701 York Ave S Ste 300
Edina
MN 55435-5864
(952) 926-6489
(952) 926-6501

Map and Direction


Primary Care Clinic Profile

Full NameEdina Sports And Family Medicine
SpecialityFamily Medicine
Location7701 York Ave S Ste 300, Edina, Minnesota
Authorized Official Name and PositionRochelle R. Taube (OWNER)
Authorized Official Contact9529266489
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Edina Sports And Family Medicine
7701 York Ave S Ste 300
Edina
MN 55435-5864

Ph: (952) 926-6489
Edina Sports And Family Medicine
7701 York Ave S Ste 300
Edina
MN 55435-5864

Ph: (952) 926-6489

NPI Details:

NPI Number1215010335
Provider Enumeration Date10/23/2006
Last Update Date01/24/2022

Medicare PECOS Information:

Medicare PECOS PAC ID7012817596
Medicare Enrollment IDO20040112000058

Medical Identifiers

Medical identifiers for Edina Sports And Family Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215010335NPI-NPPES
550095800MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 37465 (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. Edina Sports And Family Medicine acts as a billing entity for following providers:
Provider NameSuzanne K Davidowitz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366415127
PECOS PAC ID: 8022065614
Enrollment ID: I20050406000094
Provider NameStaci R Moser
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1013093004
PECOS PAC ID: 5698706471
Enrollment ID: I20050823000028
Provider NameKristin C Haugan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548235443
PECOS PAC ID: 2769547256
Enrollment ID: I20090217000415
Provider NameRochelle R Taube
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1891995338
PECOS PAC ID: 2567361173
Enrollment ID: I20100602000828
Provider NameNathan Gb Waibel
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225354947
PECOS PAC ID: 3971774423
Enrollment ID: I20110914000389

Reviews and Comments


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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.