| Brita M Koivisto, PA-C | |
|
2214 Lakeshore Point Dr Ne, Saint Michael, MN 55376-2805 | |
| (763) 478-1012 | |
| Not Available |
| Full Name | Brita M Koivisto |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 2214 Lakeshore Point Dr Ne, Saint Michael, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275183063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14007974-1206 (Utah) | Secondary |
| 363A00000X | Physician Assistant | 13171 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lifespark Home Health | Saint louis park, MN | Home health agency |
| Home Health Care Inc | Golden valley, MN | Home health agency |
| Fairview Hospital University | Minneapolis, MN | Hospital |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluestone Physician Services Pa | 4486658333 | 61 |
| Entity Name | Bluestone Physician Services PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578595971 PECOS PAC ID: 4486658333 Enrollment ID: O20060907000047 |
| Mailing Address | Practice Location Address |
|---|---|
| Brita M Koivisto, PA-C 2214 Lakeshore Point Dr Ne, Saint Michael, MN 55376-2805 Ph: (763) 478-1012 | Brita M Koivisto, PA-C 2214 Lakeshore Point Dr Ne, Saint Michael, MN 55376-2805 Ph: (763) 478-1012 |
April Marie Dornsbach, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000 |
Mrs. Emily Jo Walker, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000 |
Emily Allison Danielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Central Ave E, Saint Michael, MN 55376 Phone: 763-497-6632 |
Jennifer Poethke Idiculla, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000 |
Matthew Dennes Mckeever, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000 Fax: 763-744-4124 |