| Jason Hicks, PA | |
|
500 S Maple St, Waconia, MN 55387-1752 | |
| (952) 442-2191 | |
| Not Available |
| Full Name | Jason Hicks |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 30 Years |
| Location | 500 S Maple St, Waconia, 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 |
|---|---|---|---|
| 1306885033 | NPI | - | NPPES |
| 36D52HI | Other | BCBS | |
| HP36290 | Other | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9243 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Ridgeview Sibley Medical Center | Arlington, MN | Hospital |
| Ridgeview Lesueur Medical Center | Le sueur, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeview Medical Center | 9234041997 | 407 |
| Entity Name | Ridgeview Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
| Entity Name | Minnesota Valley Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20040301000309 |
| Entity Name | Sibley Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Hicks, PA Po Box 81, Chaska, MN 55318-0081 Ph: (888) 398-3327 | Jason Hicks, PA 500 S Maple St, Waconia, MN 55387-1752 Ph: (952) 442-2191 |
Laurie K. Grotzinger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 W State Highway 5, Waconia, MN 55387 Phone: 952-442-4461 Fax: 952-442-1547 |
Ms. To Uyen T Pham, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |
Levon John Mueller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 |
Nicole J Charles, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 Fax: 952-974-3201 |
Sommer Nicole Vaughan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 |
Kendra Anastasia Pallin, MS, MHS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 E Main St, Waconia, MN 55387 Phone: 952-442-9334 |
Elizabeth Anne Radke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |