Fairfax Medical Clinic Pa in Fairfax, MN - Medicare Family Medicine

Fairfax Medical Clinic Pa is a medicare enrolled primary clinic (Family Medicine) in Fairfax, Minnesota. The current practice location for Fairfax Medical Clinic Pa is 300 Park St S, Fairfax, Minnesota. For appointments, you can reach them via phone at (507) 426-7228. The mailing address for Fairfax Medical Clinic Pa is Po Box 529, 300 South Park St, Fairfax, Minnesota and phone number is (507) 426-7228.

Fairfax Medical Clinic Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1447245279. 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 (507) 426-7228.

Contact Information

	Fairfax Medical Clinic Pa
	300 Park St S Fairfax MN 55332-3153
	(507) 426-7228
	(507) 426-8257

Map and Direction

Primary Care Clinic Profile

Full Name	Fairfax Medical Clinic Pa
Speciality	Family Medicine
Location	300 Park St S, Fairfax, Minnesota
Authorized Official Name and Position	Thomas Frederick Gilles (PHYSICIAN)
Authorized Official Contact	5074267228
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fairfax Medical Clinic Pa Po Box 529 300 South Park St Fairfax MN 55332-0529 Ph: (507) 426-7228	Fairfax Medical Clinic Pa 300 Park St S Fairfax MN 55332-3153 Ph: (507) 426-7228

NPI Details:

NPI Number	1447245279
Provider Enumeration Date	09/19/2005
Last Update Date	04/20/2008

Medicare PECOS Information:

Medicare PECOS PAC ID	4284729211
Medicare Enrollment ID	O20071004000784

Medical Identifiers

Medical identifiers for Fairfax Medical Clinic Pa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447245279	NPI	-	NPPES
0105551	Other		MEDICA
109697	Other		U-CARE
1013965	Other		PREFERRED ONE
47164GI	Other	MN	BCBS
HP21655	Other		HEALTH PARTNERS
773742	Other		WORLD INS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fairfax Medical Clinic Pa acts as a billing entity for following providers:

Provider Name	Thomas F Gilles
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1164617866 PECOS PAC ID: 0840215372 Enrollment ID: I20071004000771

Fairfax Medical Clinic Pa - Medicare Primary Care in Fairfax, MN