| Elizabeth Davin, | |
|
4140 County Road 101 N, Plymouth, MN 55446-2308 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Elizabeth Davin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 4140 County Road 101 N, Plymouth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649747114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12990 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Gillette Childrens Specialty Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Davin, 4140 County Road 101 N, Plymouth, MN 55446-2308 Ph: (866) 389-2727 | Elizabeth Davin, 4140 County Road 101 N, Plymouth, MN 55446-2308 Ph: (866) 389-2727 |
Grayson W Blomberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446 Phone: 651-968-5201 |
Lindsay A Haugen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6050 Sycamore Ln N, Plymouth, MN 55442 Phone: 651-968-5201 Fax: 651-968-5903 |
Alaina Marie Pattinson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6050 Sycamore Ln N, Plymouth, MN 55442 Phone: 651-968-5201 Fax: 651-968-5903 |
Mrs. Kaitlyn M Roseman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3033 Campus Dr Ste W225, Plymouth, MN 55441 Phone: 415-504-3838 Fax: 415-504-1367 |
Ms. Kimberly Jo Sedbrook, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Carlson Pkwy N Ste 100, Plymouth, MN 55447 Phone: 952-473-1286 Fax: 952-473-7281 |
Nicholas Francis Schmitz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6050 Sycamore Ln N, Plymouth, MN 55442 Phone: 651-968-5201 Fax: 651-968-5903 |
Andrea Bryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1495 County Road 101 N, Plymouth, MN 55447 Phone: 637-504-6500 |