| Kelly Fider, PA-C | |
|
8100 Northland Dr, Minneapolis, MN 55431-4800 | |
| (952) 831-8742 | |
| (952) 831-1626 |
| Full Name | Kelly Fider |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 8100 Northland Dr, Minneapolis, 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 |
|---|---|---|---|
| 1598768434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9594 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tria Orthopaedic Center Llc | 3173570561 | 504 |
| 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 |
| 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 | Tria Orthopaedic Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518273085 PECOS PAC ID: 3173570561 Enrollment ID: O20110310000999 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Fider, PA-C 6465 Wayzata Blvd, Suite 315, St Louis Park, MN 55426-1728 Ph: Not Available | Kelly Fider, PA-C 8100 Northland Dr, Minneapolis, MN 55431-4800 Ph: (952) 831-8742 |
Melissa Richardson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Delaware St Se, Minneapolis, MN 55455 Phone: 612-273-3000 |
Ms. Chelsea Anjelica Mielke, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2450 Riverside Ave, Minneapolis, MN 55454 Phone: 612-672-6000 |
Jacqueline Marie Gasperlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 |
Julianne K Heil, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Chicago Ave Ste 300, Minneapolis, MN 55407 Phone: 651-225-7855 Fax: 651-312-1570 |
Courtney Fields, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2211 Riverside Ave, Campus Box 149, Minneapolis, MN 55454 Phone: 612-330-1388 |
Tara Jean Rick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: University Of Minnesota Physicians, 420 Delaware St Se, Mmc276, Minneapolis, MN 55455 Phone: 612-624-0909 |
Christine Ray Hsu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Nicollet Mall, Minneapolis, MN 55403 Phone: 612-338-0035 |