| Alexis A Bolick, PA-C | |
|
9645 Grove Cir N Ste 200, Maple Grove, MN 55369 | |
| (763) 201-8191 | |
| (763) 201-8192 |
| Full Name | Alexis A Bolick |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 9645 Grove Cir N Ste 200, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255660452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10652 (Minnesota) | Primary |
| Entity Name | Interventional Spine and Pain Physicians PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326398561 PECOS PAC ID: 2466606264 Enrollment ID: O20130201000353 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis A Bolick, PA-C 9645 Grove Cir N Ste 200, Maple Grove, MN 55369-4466 Ph: (763) 201-8191 | Alexis A Bolick, PA-C 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 Ph: (763) 201-8191 |
Kelsey Kostreba, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 105, Maple Grove, MN 55369 Phone: 763-780-6699 Fax: 763-420-0500 |
Jordan Lillian Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10150 Niagara Ln N # 100, Maple Grove, MN 55369 Phone: 224-213-5886 |
George Onyango, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220 Fax: 763-581-9221 |
Kristen Marie Finnegan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9855 Hospital Dr # 102a, Maple Grove, MN 55369 Phone: 763-581-9223 |
Tanner Jesus Verduzco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N Ste 300, Maple Grove, MN 55369 Phone: 952-841-2345 Fax: 952-841-2346 |
Tara Barrack, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440 |
Ms. Gay Wynne Lentfer, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 763-420-5822 Fax: 763-420-6387 |