| Kaeli Mikel Demarco, | |
|
2800 Campus Dr Ste 20, Plymouth, MN 55441-2669 | |
| (763) 236-6000 | |
| Not Available |
| Full Name | Kaeli Mikel Demarco |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 2800 Campus Dr Ste 20, Plymouth, 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 |
|---|---|---|---|
| 1609464734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 14230 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health - Robbinsdale Hospital | Robbinsdale, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minneapolis Radiology Associates Ltd | 5698661007 | 44 |
| 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 | Minneapolis Radiology Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871594341 PECOS PAC ID: 5698661007 Enrollment ID: O20040313000252 |
| 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 | West Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053311399 PECOS PAC ID: 7315833720 Enrollment ID: O20040429001479 |
| 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 |
|---|---|
| Kaeli Mikel Demarco, 2800 Campus Dr Ste 10, Plymouth, MN 55441-2669 Ph: (763) 236-6000 | Kaeli Mikel Demarco, 2800 Campus Dr Ste 20, Plymouth, MN 55441-2669 Ph: (763) 236-6000 |
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 |
Andrea Bryan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1495 County Road 101 N, Plymouth, MN 55447 Phone: 637-504-6500 |
Ryan Mccauley Rivard, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4140 County Road 101 N, Plymouth, MN 55446 Phone: 763-478-4612 |
Mrs. Nicole Ann Naas, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Teakwood Ln N Apt B, Plymouth, MN 55442 Phone: 414-627-9815 |