| Jeff O Bohlman, PA | |
|
1835 County Road C W Ste 150, Roseville, MN 55113-1343 | |
| (651) 430-3800 | |
| (651) 430-3827 |
| Full Name | Jeff O Bohlman |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 8 Years |
| Location | 1835 County Road C W Ste 150, Roseville, 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 |
|---|---|---|---|
| 1235697509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12956 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3844 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeff O Bohlman, PA 1950 Northwestern Ave, Suite 102, Stillwater, MN 55082 Ph: (651) 430-3800 | Jeff O Bohlman, PA 1835 County Road C W Ste 150, Roseville, MN 55113-1343 Ph: (651) 430-3800 |
Carly Jo Hennek, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-331-3459 |
Amanda Joanne Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 County Road B W, Roseville, MN 55113 Phone: 866-389-2727 |
Zachary Friederichs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |
Erin Lynn Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-635-0054 Fax: 651-635-0949 |
Tiffany J Mellang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 |
Austin James Heneman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-331-3459 |
Kelsey Kathleen Strub, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 952-452-6503 |