| Barry A Radin, PAC | |
|
1245 15th St N, Saint Cloud, MN 56303-1802 | |
| (320) 253-5200 | |
| (320) 203-2113 |
| Full Name | Barry A Radin |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 51 Years |
| Location | 1245 15th St N, Saint Cloud, 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 |
|---|---|---|---|
| 1669447215 | NPI | - | NPPES |
| 512636300 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 8819 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Simplicity Health Pa | 1557617354 | 16 |
| 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 |
| Entity Name | Simplicity Health PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780186486 PECOS PAC ID: 1557617354 Enrollment ID: O20180710001022 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry A Radin, PAC 1511 Northway Dr, Ste 103, Saint Cloud, MN 56303-1262 Ph: (320) 267-1341 | Barry A Radin, PAC 1245 15th St N, Saint Cloud, MN 56303-1802 Ph: (320) 253-5200 |
Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir Ste 2650, Saint Cloud, MN 56303 Phone: 320-253-2663 |
Becca Barry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Mr. John Thomas Hardman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |
Faith Kelly Dammann Schlicht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-255-2700 |
Claire Emilie Sautner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-5099 |
Abigail Holmberg, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-240-2829 |
Bradley Reiners, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |