| North Star Family Medicine Pllc | |
|
4682 Wilderness Ct Ste 102 Brainerd MN 56401-2834 | |
| (218) 382-2870 | |
| Not Available |
| Full Name | North Star Family Medicine Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4682 Wilderness Ct Ste 102, Brainerd, Minnesota |
| Authorized Official Name and Position | Kristina M Lelcu (CEO) |
| Authorized Official Contact | 2188389913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Star Family Medicine Pllc 4683 Wilderness Court Brainerd MN 56401 Ph: (218) 382-2870 | North Star Family Medicine Pllc 4682 Wilderness Ct Ste 102 Brainerd MN 56401-2834 Ph: (218) 382-2870 |
| NPI Number | 1265022370 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 04/04/2022 |
| Medicare PECOS PAC ID | 1759796949 |
|---|---|
| Medicare Enrollment ID | O20210222000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265022370 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Susan A Heying |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659536548 PECOS PAC ID: 7416018106 Enrollment ID: I20081213000144 |
| Provider Name | Kristina M Lelcu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669612677 PECOS PAC ID: 2860660560 Enrollment ID: I20110725000420 |
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