| Brian Traeger, PA-C | |
|
6300 Wedgwood Rd N, Maple Grove, MN 55311-3647 | |
| (763) 551-1215 | |
| Not Available |
| Full Name | Brian Traeger |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 6300 Wedgwood Rd N, Maple Grove, 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 |
|---|---|---|---|
| 1952865875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12946 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grand Itasca Clinic And Hospital | Grand rapids, MN | Hospital |
| Range Regional Health Services | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grand Itasca Clinic And Hospital | 8123939550 | 328 |
| Range Regional Health Services | 8022920024 | 349 |
| Entity Name | Grand Itasca Clinic and Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Minuteclinic Diagnostic of Minnesota PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Traeger, PA-C 6300 Wedgwood Rd N, Maple Grove, MN 55311-3647 Ph: (763) 551-1215 | Brian Traeger, PA-C 6300 Wedgwood Rd N, Maple Grove, MN 55311-3647 Ph: (763) 551-1215 |
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 |