| Adam Sudbeck, PA-C | |
|
295 Phalen Blvd, Saint Paul, MN 55130-2400 | |
| (651) 495-6200 | |
| (651) 495-6201 |
| Full Name | Adam Sudbeck |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 295 Phalen Blvd, Saint Paul, 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 |
|---|---|---|---|
| 1265859011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA4951 (Massachusetts) | Secondary |
| 363A00000X | Physician Assistant | 12491 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Regions Hospital | Saint paul, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Inc | 1759293954 | 1627 |
| Park Nicollet Clinic | 7911819438 | 1778 |
| 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 | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam Sudbeck, PA-C 8170 33rd Ave S, Ms 21110q, Bloomington, MN 55425-4516 Ph: (651) 495-6200 | Adam Sudbeck, PA-C 295 Phalen Blvd, Saint Paul, MN 55130-2400 Ph: (651) 495-6200 |
Jordan Thaddeus Mahieu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11102f, Saint Paul, MN 55101 Phone: 952-883-5129 |
Samantha P Hunt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Bethel Dr, Saint Paul, MN 55112 Phone: 651-638-6400 |
Ms. Barbara Lynn Peterson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 Dayton Ave, Ste 205, Saint Paul, MN 55104 Phone: 651-645-0478 Fax: 651-642-2523 |
Mr. Christopher Lawrence Kaye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |
Shaun Sava, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-389-2540 |
Erin Nicole Dehn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |
Kira Elizabeth Oien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Fairview Ave N # 145, Saint Paul, MN 55113 Phone: 763-225-9050 |