Luke A Herdina, PA-C is a medicare enrolled "Physician Assistant - Medical" in Big Lake, Minnesota. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Centracare Clinic, Novacare Outpatient Rehabilitation East Inc and his current practice location is
16830 198th Ave Nw, Big Lake Clinic, Big Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 263-7300.
Luke A Herdina is licensed to practice in Minnesota (license number 1259) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720118912.
Provider's Profile
| Full Name | Luke A Herdina |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 21 Years |
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| Location | 16830 198th Ave Nw, Big Lake, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Luke A Herdina graduated from nursing school in 2003
NPI Data:
- NPI Number: 1720118912
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 05/05/2009
Medicare PECOS Information:
- PECOS PAC ID: 8022112069
- Enrollment ID: I20090716000336
Medical Identifiers
Medical identifiers for Luke A Herdina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720118912 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 0630 (South Dakota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1259 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Centracare Clinic | 2466363395 | 632 |
| Novacare Outpatient Rehabilitation East Inc | 3678480290 | 617 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Luke A Herdina is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Luke A Herdina, PA-C
P.o. Box 539, 16830 198th Ave Nw Big Lake Clinic,
Big Lake, MN 55309
Ph: (763) 263-7300 | Luke A Herdina, PA-C
16830 198th Ave Nw, Big Lake Clinic,
Big Lake, MN 55309
Ph: (763) 263-7300 |
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