| Adam Robert Hetz, PAC | |
|
10705 Town Square Dr Ne Ste 210, Blaine, MN 55449-8187 | |
| (763) 231-8700 | |
| (763) 427-8131 |
| Full Name | Adam Robert Hetz |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 10705 Town Square Dr Ne Ste 210, Blaine, 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 |
|---|---|---|---|
| 1205107422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Dermatology Sc | 8628353380 | 145 |
| Entity Name | Minnesota Dermatology, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609009380 PECOS PAC ID: 1658418181 Enrollment ID: O20091102000251 |
| Entity Name | Pinnacle Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861930984 PECOS PAC ID: 8628353380 Enrollment ID: O20200715003001 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Robert Hetz, PAC 820 Springer Dr, Lombard, IL 60148-6413 Ph: (815) 744-8554 | Adam Robert Hetz, PAC 10705 Town Square Dr Ne Ste 210, Blaine, MN 55449-8187 Ph: (763) 231-8700 |
Eliza S Dahly, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 |
John W Stoulil, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12175 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-785-4200 Fax: 763-785-3314 |
Joseph Miles Palmquist, JOE PALMQUIST Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10961 Club West Pkwy, Blaine, MN 55449 Phone: 763-572-5700 |
Ashley K Ganser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601 |
Tiffany S Hall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 109th Ave Ne, Blaine, MN 55449 Phone: 763-421-5011 |
Danielle Kay Earp, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601 |
Jessie Lauren Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601 |