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Primary Practice Address
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422-4544 US
PECOS Enrolled

Clemencia Rasquinha

Family Medicine Physician (Geriatric)


Overview

Clemencia Rasquinha is a Family Medicine Physician (Geriatric) in the GOLDEN VALLEY area and has over 35 years of experience. Clemencia Rasquinha primary office location is at 1415 LILAC DR N STE 190 and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1989

Clemencia Rasquinha is affiliated with nineteen hospitals in the GOLDEN VALLEY area, including . The NPI number is 1023021409 and the information was updated approximately 5 years ago.

Clemencia Rasquinha is affiliated with one medical group in the GOLDEN VALLEY area, TWIN CITIES PHYSICIANS PROFESSIONAL CORPORATION.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422-4544 US
Phone: (763)-267-8701
Fax:
Practice Mailing Information
1415 LILAC DR N STE 190
GOLDEN VALLEY, MN 55422-4544 US
Phone: (763)-267-8701
Fax: (763)-231-9602
License Number State
40773 CO
60102 MN
Board Certifications
Geriatric Medicine
Type/Issuer IdentifierState
MEDICAID 56229216 CO

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20191015000552
PECOS Individual PAC ID: 3476517988
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes