Integrated Wound Care Minnesota PLLC - Medicare Primary Care in Delano, MN

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Integrated Wound Care Minnesota PLLC is a medicare enrolled primary clinic (General Practice) in Delano, Minnesota. The current practice location for Integrated Wound Care Minnesota PLLC is 433 County Road 30 Se, Delano, Minnesota. For appointments, you can reach them via phone at (718) 705-6010. The mailing address for Integrated Wound Care Minnesota PLLC is 492c Cedar Ln Ste 514, Teaneck, New Jersey and phone number is (718) 705-6010.

Integrated Wound Care Minnesota PLLC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1205390457. 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 (718) 705-6010.

Contact Information

Integrated Wound Care Minnesota PLLC
433 County Road 30 Se
Delano
MN 55328-9000
(718) 705-6010
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameIntegrated Wound Care Minnesota PLLC
SpecialityGeneral Practice
Location433 County Road 30 Se, Delano, Minnesota
Authorized Official Name and PositionDiane Lusas (PRESIDENT)
Authorized Official Contact2127346621
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Integrated Wound Care Minnesota PLLC
492c Cedar Ln Ste 514
Teaneck
NJ 07666-1713

Ph: (718) 705-6010		Integrated Wound Care Minnesota PLLC
433 County Road 30 Se
Delano
MN 55328-9000

Ph: (718) 705-6010

NPI Details:

NPI Number1205390457
Provider Enumeration Date01/22/2019
Last Update Date01/12/2026
Certification Date01/12/2026

Medicare PECOS Information:

Medicare PECOS PAC ID2769722511
Medicare Enrollment IDO20190314001268

Medical Identifiers

Medical identifiers for Integrated Wound Care Minnesota PLLC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205390457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Integrated Wound Care Minnesota PLLC acts as a billing entity for following providers:
Provider NameJennifer Otterbein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467425751
PECOS PAC ID: 8729042338
Enrollment ID: I20041115000102
Provider NameTammy L Davis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528134129
PECOS PAC ID: 6901824333
Enrollment ID: I20051104000042
Provider NameRebecca a Weber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699982876
PECOS PAC ID: 0446334593
Enrollment ID: I20080227000602
Provider NameM Elizabeth Mcnutt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306032065
PECOS PAC ID: 9537247549
Enrollment ID: I20080416000277
Provider NameMichaela a Mclain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003046996
PECOS PAC ID: 7719025501
Enrollment ID: I20091116000597
Provider NameKara L Fausch
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417124553
PECOS PAC ID: 6103965553
Enrollment ID: I20091125000212
Provider NameSarah E Blanshan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518273622
PECOS PAC ID: 2466648779
Enrollment ID: I20101129001076
Provider NameTracy L Dickison
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1225376338
PECOS PAC ID: 2466698436
Enrollment ID: I20130417000323
Provider NameStephanie J Garofalo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811324437
PECOS PAC ID: 9234365370
Enrollment ID: I20131120001555
Provider NameCatherine a Cecconi
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1346676319
PECOS PAC ID: 2264668128
Enrollment ID: I20131122001887
Provider NameMary E Jaeger
Provider TypePractitioner - Certified Clinical Nurse Specialist (cns)
Provider IdentifiersNPI Number: 1891129425
PECOS PAC ID: 4385867142
Enrollment ID: I20140523000225
Provider NameInemienyu N Evbakhare
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225307135
PECOS PAC ID: 6901063312
Enrollment ID: I20150515000443
Provider NameKristin M Stevens
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962882696
PECOS PAC ID: 0648584243
Enrollment ID: I20150727001483
Provider NameAlicia H Keeler
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598039463
PECOS PAC ID: 4284895624
Enrollment ID: I20170117000894
Provider NameClaire Elena Kap
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962811604
PECOS PAC ID: 9133426000
Enrollment ID: I20170918000580
Provider NameDiane Lusas
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1730475658
PECOS PAC ID: 9032430640
Enrollment ID: I20190314001341
Provider NameHudson M Omweri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285190132
PECOS PAC ID: 5395088702
Enrollment ID: I20190528000324
Provider NameMai Sia Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134783574
PECOS PAC ID: 0749518165
Enrollment ID: I20190823000001
Provider NameJillian S Simon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730713157
PECOS PAC ID: 9335570340
Enrollment ID: I20200507000517
Provider NameVirginia Otey Villarreal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518583590
PECOS PAC ID: 0042639379
Enrollment ID: I20201006000705
Provider NameAngela Ngozi Ikeri
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982945937
PECOS PAC ID: 5092127712
Enrollment ID: I20201221002375
Provider NamePandora Bazen Dickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578101747
PECOS PAC ID: 4183038102
Enrollment ID: I20210202001667
Provider NameNargiza S. Akyol
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396324331
PECOS PAC ID: 9638560030
Enrollment ID: I20211220000104
Provider NameKatrina Lee Hull
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801557145
PECOS PAC ID: 5991198772
Enrollment ID: I20220201000682
Provider NameChantelle Alice Lou Fieber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629663935
PECOS PAC ID: 5991113912
Enrollment ID: I20220207000176
Provider NameChristina Richardson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336803691
PECOS PAC ID: 0345634523
Enrollment ID: I20220304000411
Provider NameLaura Lee Zweber
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841345139
PECOS PAC ID: 9638564420
Enrollment ID: I20220314000973
Provider NameMegan Jackson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750909388
PECOS PAC ID: 1658766365
Enrollment ID: I20220316000977
Provider NameAnn Marie Sinda Equio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497487813
PECOS PAC ID: 5395128359
Enrollment ID: I20220824001193
Provider NameSarah Cushman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275924821
PECOS PAC ID: 1658673181
Enrollment ID: I20220824003557
Provider NameAbolfazl Kowsari
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073172003
PECOS PAC ID: 9931584562
Enrollment ID: I20220919002244
Provider NameBrianna Marsh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174287478
PECOS PAC ID: 5799178547
Enrollment ID: I20230110001344
Provider NameSarah Marie Wilm Hunter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972215598
PECOS PAC ID: 8628442316
Enrollment ID: I20230320002840
Provider NameTashi Lhamo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316724156
PECOS PAC ID: 3678927167
Enrollment ID: I20231003000906
Provider NameJocelyn Kon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376850883
PECOS PAC ID: 4880880566
Enrollment ID: I20231101003018
Provider NameNicolette Renee Keehr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194506741
PECOS PAC ID: 9739537382
Enrollment ID: I20231121001559
Provider NameMichelle Trevino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447960604
PECOS PAC ID: 9638535784
Enrollment ID: I20240123002685
Provider NameEvans Odhiambo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992523898
PECOS PAC ID: 4284166364
Enrollment ID: I20241014003680
Provider NameHerbert Matanga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003664525
PECOS PAC ID: 1254860091
Enrollment ID: I20250123003724
Provider NameShadrin K Constance
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609632223
PECOS PAC ID: 1951823657
Enrollment ID: I20250324000400
Provider NameSenayet Goitom
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679387054
PECOS PAC ID: 2062936982
Enrollment ID: I20250411002093
Provider NameJeremiah Otaro Ongera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417550948
PECOS PAC ID: 7416461736
Enrollment ID: I20250709001817
Provider NameBella Hoffman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407491442
PECOS PAC ID: 8224468970
Enrollment ID: I20260330001757

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.