| Grant William Mathison, | |
|
1415 Saint Francis Ave, Shakopee, MN 55379-3374 | |
| (952) 993-7750 | |
| Not Available |
| Full Name | Grant William Mathison |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 11 Years |
| Location | 1415 Saint Francis Ave, Shakopee, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629482708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301105237 (Michigan) | Secondary |
| 207X00000X | Orthopaedic Surgery | 67362 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Regional Medical Center | Shakopee, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 461 |
| Park Nicollet Clinic | 7911819438 | 1611 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Tria Orthopaedic Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Grant William Mathison, 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750 | Grant William Mathison, 1415 Saint Francis Ave, Shakopee, MN 55379-3374 Ph: (952) 993-7750 |
Dr. David Conrad Carlson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1515 Saint Francis Ave, Suite 150, Shakopee, MN 55379 Phone: 952-403-3399 Fax: 952-403-3390 | |
Dr. Darren F Larson, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1601 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-993-3230 Fax: 952-993-7755 |