| Alexa Frances Willard, PA-C | |
|
3650 Braddock Ave Ne Ste 400, Buffalo, MN 55313-3681 | |
| (763) 587-4725 | |
| (952) 883-9604 |
| Full Name | Alexa Frances Willard |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3650 Braddock Ave Ne Ste 400, Buffalo, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609451210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15406 (Minnesota) | Primary |
| 363A00000X | Physician Assistant | MED-PAC-LIC-95816 (Montana) | Secondary |
| Entity Name | Community Health Care Center Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902948946 PECOS PAC ID: 7214272848 Enrollment ID: O20181228002381 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexa Frances Willard, PA-C 3650 Braddock Ave Ne Ste 400, Buffalo, MN 55313-3681 Ph: (763) 587-4725 | Alexa Frances Willard, PA-C 3650 Braddock Ave Ne Ste 400, Buffalo, MN 55313-3681 Ph: (763) 587-4725 |
Matthew Michael Donovan, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St Ste 010, Buffalo, MN 55313 Phone: 763-682-5225 Fax: 763-684-6111 |
Grant Mcfadden, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 303 Catlin St, Buffalo, MN 55313 Phone: 763-682-5225 Fax: 763-684-6111 |
Ms. Martha Louise Weber, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Highway 25 N, Buffalo, MN 55313 Phone: 763-682-1313 |
Erin Lynn Hanson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Highway 25 N, Buffalo, MN 55313 Phone: 763-682-1313 |
Brian L Yost, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Highway 25 N, Buffalo, MN 55313 Phone: 763-682-1313 |
Christine Earll, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Highway 25 N, Buffalo, MN 55313 Phone: 763-682-1313 Fax: 763-581-9090 |
Ms. Erin Macheel, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1700 Highway 25 N, Buffalo, MN 55313 Phone: 763-682-1313 |