One provider matched this Medicaid ID.
Minnesota Medicaid ID 708402000 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
- 12200ND
- 708402000MN
- 7101960SD
- 46022474352NE
Other
- 1588799738SD· Issued by ARAZ/ AMERICA'S PPO
- 412991052723SD· Issued by PREFERRED ONE
- 4992668SD· Issued by BCBS SOUTH DAKOTA
- 040121002· Issued by PRIMEWEST
- 370624200· Issued by DEPT. OF LABOR
- 57108C036SD· Issued by WPS TRICARE
- 61408· Issued by SANFORD HEALTH PLAN
- 7102SD· Issued by DAKOTACARE
- HP83890SD· Issued by HEALTHPARTNERS
- 254722SD· Issued by MIDLAND'S CHOICE
- 6I497MAMN· Issued by CC SYSTEMS/ BLUE PLUS
- 6I497MAMN· Issued by BLUE PLUS
Source: NPPES public registry.
Medicare enrollment
This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20071127000192PsychiatrySD
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.