| Lee Ann Misstishin, PA-C | |
|
1200 6th Ave N, Saint Cloud, MN 56303-2735 | |
| (320) 252-5131 | |
| Not Available |
| Full Name | Lee Ann Misstishin |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1200 6th Ave N, Saint Cloud, 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 |
|---|---|---|---|
| 1437672482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 12453 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare - St. Cloud Hospital | Saint cloud, MN | Hospital |
| Centracare- Rice Memorial Hospital | Willmar, MN | Hospital |
| Centracare - Paynesville Hospital | Paynesville, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Centracare - Melrose Hospital | Melrose, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Lee Ann Misstishin, PA-C 2205 Meadow Oak Ave Apt 351, Monticello, MN 55362-2618 Ph: (570) 691-5612 | Lee Ann Misstishin, PA-C 1200 6th Ave N, Saint Cloud, MN 56303-2735 Ph: (320) 252-5131 |
Emily Lou Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir Ste 2650, Saint Cloud, MN 56303 Phone: 320-253-2663 |
Becca Barry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Mr. John Thomas Hardman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 251 County Road 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756 |
Faith Kelly Dammann Schlicht, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-255-2700 |
Claire Emilie Sautner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-229-5099 |
Bradley Reiners, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 4801 Veterans Dr, Saint Cloud, MN 56303 Phone: 320-252-1670 |
Timothy Mangold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1301 33rd St S, Saint Cloud, MN 56301 Phone: 320-251-8181 |