Tess Michielutti

MD | Pediatrics | Female

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Complete Profile:

Tess Michielutti basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Tess Michielutti
Other Name :	Tess Baril
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Tess Michielutti address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	9555 Upland Ln N Maple Grove, MN, 55369-4485 United States
Phone Number :	952-993-1440

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1477086288
NPI Entity Type :	Individual
First Enrolment Date :	07 Apr, 2017
Last Updated On :	25 Oct, 2021

Medicare Participation:

Tess Michielutti participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	5496022501
Medicare Enrollment ID :	I20211105001253
Primary Specialty :	Internal Medicine
Medical School :	University Of Minnesota Medical School
Graduation Year :	2017
Accepts Medicare?	Yes. Tess Michielutti accepts medicare insurance.

Group Practice Association:

Tess Michielutti is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Tess Michielutti is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Park Nicollet Clinic	7911819438	1442	15111 Twelve Oaks Ctr Dr Minnetonka, MN - 553055201 Ph: 9529934500	Yes
Park Nicollet Clinic	7911819438	1442	15800 95th Ave N Maple Grove, MN - 553694400 Ph: 9529931440	Yes
Park Nicollet Clinic	7911819438	1442	3800 Park Nicollet Blvd St Louis Park, MN - 554162527	Yes
Park Nicollet Clinic	7911819438	1442	3850 Park Nicollet Blvd St Louis Park, MN - 554162527 Ph: 9529933123	Yes
Park Nicollet Clinic	7911819438	1442	5320 Hyland Greens Dr Bloomington, MN - 554373934 Ph: 9529932400	Yes
Park Nicollet Clinic	7911819438	1442	4155 County Rd 101 Plymouth, MN - 554462307 Ph: 9529938900	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tess Michielutti are as mentioned. Primary taxonomy code for Tess Michielutti, MD is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	67174	MN
208000000X	Pediatrics	Yes	67174	MN
390200000X	Student in an Organized Health Care Education/Training Program	No

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	8170 33rd Ave S # Ms 21110q Bloomington, MN, 55425-4516 United States

Business Location:

Patients can refer following map for directions to Tess Michielutti practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.