| John S Isenberg, PA-C | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 982-7300 | |
| Not Available |
| Full Name | John S Isenberg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 5200 Fairview Blvd, Wyoming, 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 |
|---|---|---|---|
| 1205360526 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12392 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| M Health Fairview St John's Hospital | Maplewood, MN | Hospital |
| M Health Fairview Southdale Hospital | Edina, MN | Hospital |
| M Health Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 799 |
| Healtheast Medical Research Institute | 3971407636 | 665 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | Infinite Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407483175 PECOS PAC ID: 8325477656 Enrollment ID: O20230928001785 |
| Mailing Address | Practice Location Address |
|---|---|
| John S Isenberg, PA-C 15300 Grove Cir N, Maple Grove, MN 55369-4469 Ph: (763) 447-2506 | John S Isenberg, PA-C 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7300 |
Shana M Mccracken, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |
Taylor Anne Hastings, PA-C, MMS Physician Assistant Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-389-0194 Fax: 651-982-7677 |
Jillian Vierling, PA-S Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |
Catherine Mary Mandli, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |
Jaime Evan Glader, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5130 Fairview Blvd Ste 100, Wyoming, MN 55092 Phone: 651-439-8807 Fax: 651-439-0232 |
Ashley Renee Witek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |
Valerie Lee Saladin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600 |