| Kamini Bose Sundar Bose, PA STUDENT | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 495-6603 | |
| (952) 883-9677 |
| Full Name | Kamini Bose Sundar Bose |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 640 Jackson St, Saint Paul, 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 |
|---|---|---|---|
| 1295371789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13727 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regions Hospital | Saint paul, MN | Hospital |
| Hudson Hospital & Clinic | Hudson, WI | Hospital |
| St Croix Regional Medical Center | Saint croix falls, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Group Health Inc | 1759293954 | 1627 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Kamini Bose Sundar Bose, PA STUDENT 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: Not Available | Kamini Bose Sundar Bose, PA STUDENT 640 Jackson St, Saint Paul, MN 55101-2502 Ph: (651) 495-6603 |
Jordan Thaddeus Mahieu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11102f, Saint Paul, MN 55101 Phone: 952-883-5129 |
Samantha P Hunt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Bethel Dr, Saint Paul, MN 55112 Phone: 651-638-6400 |
Ms. Barbara Lynn Peterson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 Dayton Ave, Ste 205, Saint Paul, MN 55104 Phone: 651-645-0478 Fax: 651-642-2523 |
Mr. Christopher Lawrence Kaye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |
Shaun Sava, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-389-2540 |
Erin Nicole Dehn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |
Kira Elizabeth Oien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Fairview Ave N # 145, Saint Paul, MN 55113 Phone: 763-225-9050 |