The Good Clinic - Medicare Primary Care in St Louis Park, MN

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The Good Clinic is a medicare enrolled primary clinic (Clinic/center - Primary Care) in St Louis Park, Minnesota. The current practice location for The Good Clinic is 4712 Excelsior Blvd, St Louis Park, Minnesota. For appointments, you can reach them via phone at (844) 383-8689. The mailing address for The Good Clinic is 1660 Highway 100 S Ste 432, St Louis Park, Minnesota and phone number is () -.

The Good Clinic is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003423252. 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 (844) 383-8689.

Contact Information

The Good Clinic
4712 Excelsior Blvd
St Louis Park
MN 55416-3008
(844) 383-8689
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameThe Good Clinic
SpecialityClinic/Center
Location4712 Excelsior Blvd, St Louis Park, Minnesota
Authorized Official Name and PositionKevin Lee Smith (CHIEF NURSE PRACTITIONER OFFICER)
Authorized Official Contact7636395327
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
The Good Clinic
1660 Highway 100 S Ste 432
St Louis Park
MN 55416-1533

Ph: () -		The Good Clinic
4712 Excelsior Blvd
St Louis Park
MN 55416-3008

Ph: (844) 383-8689

NPI Details:

NPI Number1003423252
Provider Enumeration Date09/30/2020
Last Update Date01/14/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0941616742
Medicare Enrollment IDO20210302002351

Medical Identifiers

Medical identifiers for The Good Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003423252NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (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. The Good Clinic acts as a billing entity for following providers:
Provider NameKevin Lee Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679531024
PECOS PAC ID: 7810980851
Enrollment ID: I20040406000920
Provider NameKerry A Johnson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477504058
PECOS PAC ID: 6709882194
Enrollment ID: I20061006000426
Provider NameAnne Margaret Guiral
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306096342
PECOS PAC ID: 2163584897
Enrollment ID: I20081215000345
Provider NamePaul Linson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891029872
PECOS PAC ID: 8729121363
Enrollment ID: I20100204000851
Provider NameKimberly D Yung
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1710265368
PECOS PAC ID: 1254504061
Enrollment ID: I20111021000557
Provider NameLisa T Tieu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265869606
PECOS PAC ID: 1254567191
Enrollment ID: I20131122001209
Provider NameAshley J Thersleff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720456577
PECOS PAC ID: 0648589226
Enrollment ID: I20151021002712
Provider NameWhitney S Sarnstrom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063885440
PECOS PAC ID: 8527360627
Enrollment ID: I20160106002203
Provider NameAngela M Laughlin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245778612
PECOS PAC ID: 8325323223
Enrollment ID: I20170315002007
Provider NameDonald Dunow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013047463
PECOS PAC ID: 0143458158
Enrollment ID: I20180620000658
Provider NameJessica M Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578058038
PECOS PAC ID: 7911255948
Enrollment ID: I20180807002361
Provider NameSarah R Tupper
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861977472
PECOS PAC ID: 5496008310
Enrollment ID: I20181023002044
Provider NameHannah M Christian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841761160
PECOS PAC ID: 9931448842
Enrollment ID: I20190311001479
Provider NameBrett A Jahnke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952915282
PECOS PAC ID: 4789094426
Enrollment ID: I20201107000126
Provider NameFrancine Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336532514
PECOS PAC ID: 6305154253
Enrollment ID: I20220511002565

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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.