| Pioneer Wound Care Llc | |
|
5821 Cedar Lake Rd S Minneapolis MN 55416-1487 | |
| (612) 568-8949 | |
| Not Available |
| Full Name | Pioneer Wound Care Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5821 Cedar Lake Rd S, Minneapolis, Minnesota |
| Authorized Official Name and Position | Mariam Farah (STAFF) |
| Authorized Official Contact | 6122057792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pioneer Wound Care Llc 5821 Cedar Lake Rd S Minneapolis MN 55416-1487 Ph: (612) 568-8949 | Pioneer Wound Care Llc 5821 Cedar Lake Rd S Minneapolis MN 55416-1487 Ph: (612) 568-8949 |
| NPI Number | 1265244859 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 3678096138 |
|---|---|
| Medicare Enrollment ID | O20250326000869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265244859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Wosilat A Soboyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619511235 PECOS PAC ID: 0143699603 Enrollment ID: I20221206001615 |
Morningstar Wellness Center, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington Ave N, Suite 202, Minneapolis, MN 55401 Phone: 612-455-2920 Fax: 612-455-2921 | |
Group Health Plan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8170 33rd Ave S, Ms 21110q, Minneapolis, MN 55425 Phone: 952-883-7469 Fax: 952-883-5395 | |
Regents Of The University Of Minnesota Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Church St Se, Minneapolis, MN 55455 Phone: 612-625-8400 Fax: 612-677-3211 | |
Corban Health Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5141 36th Ave S, Minneapolis, MN 55417 Phone: 612-644-9047 | |
Fairview Express Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2025 E River Pkwy, Minneapolis, MN 55414 Phone: 612-301-0115 | |
Ams Healing And Wellness Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Washington Ave N Ofc U2-09, Minneapolis, MN 55401 Phone: 320-282-4023 | |
First Class Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1729 N 2nd St, Minneapolis, MN 55411 Phone: 952-270-5238 |