| Kathleen C Spencer, PA-C | |
|
300 Lake Dr E, Chanhassen, MN 55317-9302 | |
| (952) 993-4327 | |
| (952) 993-4320 |
| Full Name | Kathleen C Spencer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 300 Lake Dr E, Chanhassen, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043297534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9408 (Minnesota) | Primary |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen C Spencer, PA-C 300 Lake Dr E, Chanhassen, MN 55317-9302 Ph: (952) 993-4327 | Kathleen C Spencer, PA-C 300 Lake Dr E, Chanhassen, MN 55317-9302 Ph: (952) 993-4327 |
Judith Workman, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 |
Carolyn C Majkrzak, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 |
Devin Parker, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 |
Georgia Underwood-wright, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 |
Mr. Donald Lynn Bezdicek, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7765 Galpin Blvd, Chanhassen, MN 55317 Phone: 952-474-6623 |
Lindsay Jo Mccain, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 Lake Dr E, Chanhassen, MN 55317 Phone: 952-993-4300 Fax: 952-993-4320 |
Krystin Nicole Svobodny, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7907 Powers Blvd, Chanhassen, MN 55317 Phone: 952-934-0570 |