| Abigail Rayna Ghylin, PA-S | |
|
15650 Cedar Ave, Apple Valley, MN 55124-7283 | |
| (952) 997-4100 | |
| (952) 997-4102 |
| Full Name | Abigail Rayna Ghylin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15650 Cedar Ave, Apple Valley, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154888113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13337 (Minnesota) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 13337 (Minnesota) | Secondary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | Matrix Medical Plus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220821000028 |
| Mailing Address | Practice Location Address |
|---|---|
| Abigail Rayna Ghylin, PA-S 2115 County Road D E Ste C100, Maplewood, MN 55109-5354 Ph: (651) 358-7020 | Abigail Rayna Ghylin, PA-S 15650 Cedar Ave, Apple Valley, MN 55124-7283 Ph: (952) 997-4100 |
Kayla Mae Holm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100 |
John Boettger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500 |
Jillian Johannes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 |
Mrs. Shelby Ann Oswald, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 |
Stefanie Marie Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 Fax: 651-241-3825 |
Daniel Joseph Lunsford Durbin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 7300 147th St W Ste 204, Apple Valley, MN 55124 Phone: 952-997-3020 |
Nicole Marie Stotter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-250-4559 |