| Mark E Kohlhase, PA-C | |
|
5200 Fairview Blvd, Wyoming, MN 55092-8013 | |
| (651) 982-7659 | |
| Not Available |
| Full Name | Mark E Kohlhase |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 37 Years |
| Location | 5200 Fairview Blvd, Wyoming, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730131228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9066 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Express Care | 3375645179 | 1733 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Kohlhase, PA-C 10490 261st St, Chisago City, MN 55013-5201 Ph: () - | Mark E Kohlhase, PA-C 5200 Fairview Blvd, Wyoming, MN 55092-8013 Ph: (651) 982-7659 |
Shana M Mccracken, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
John S Isenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7300 | |
Taylor Anne Hastings, PA-C, MMS Physician Assistant Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-389-0194 Fax: 651-982-7677 | |
Jillian Vierling, PA-S Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Catherine Mary Mandli, PAC Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 | |
Jaime Evan Glader, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5130 Fairview Blvd Ste 100, Wyoming, MN 55092 Phone: 651-439-8807 Fax: 651-439-0232 | |
Ashley Renee Witek, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000 |