| Blake S Luna, PA-C | |
|
2090 Woodwinds Dr, Woodbury, MN 55125-2522 | |
| (651) 968-5201 | |
| (651) 968-5903 |
| Full Name | Blake S Luna |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 2090 Woodwinds Dr, Woodbury, 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 |
|---|---|---|---|
| 1154080562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 15431 (Minnesota) | Primary |
| 363A00000X | Physician Assistant | 4915 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Maury Regional Hospital | Columbia, TN | Hospital |
| M Health Fairview Lakes Medical Center | Wyoming, MN | Hospital |
| M Health Fairview St John's Hospital | Maplewood, MN | Hospital |
| M Health Fairview Woodwinds Hospital | Woodbury, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tennessee Orthopaedic Alliance Pa | 5193625069 | 358 |
| Summit Orthopedics, Ltd | 8921900374 | 282 |
| Entity Name | Tennessee Orthopaedic Alliance PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538153937 PECOS PAC ID: 5193625069 Enrollment ID: O20040109000069 |
| Entity Name | Sumner Physician Practices LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720572209 PECOS PAC ID: 8820283260 Enrollment ID: O20101112000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake S Luna, PA-C 710 Commerce Dr Ste 200, Woodbury, MN 55125-4925 Ph: Not Available | Blake S Luna, PA-C 2090 Woodwinds Dr, Woodbury, MN 55125-2522 Ph: (651) 968-5201 |
Abby J Ross, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5201 Fax: 651-968-5904 |
Jennifer Susan Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4040 Radio Dr, Woodbury, MN 55129 Phone: 651-439-8807 Fax: 651-439-0232 |
Gina Henderson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 710 Commerce Dr Ste 2000, Woodbury, MN 55125 Phone: 414-288-5688 |
Allison Cole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Woodwinds Dr, Woodbury, MN 55125 Phone: 651-968-5201 |
David Preston Law, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3205 |
Ms. Eunice Lee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8675 Valley Creek Rd, Woodbury, MN 55125 Phone: 651-241-3000 Fax: 651-241-3507 |
Nina Lebrun, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6025 Lake Rd Ste 200, Woodbury, MN 55125 Phone: 651-999-6800 |