| Melissa Anne Stasiak, PA | |
|
Po Box 211699, Eagan, MN 55121-3699 | |
| (866) 849-0692 | |
| (888) 973-8821 |
| Full Name | Melissa Anne Stasiak |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | Po Box 211699, Eagan, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871258004 | NPI | - | NPPES |
| Entity Name | Marillac Community Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396059796 PECOS PAC ID: 3678755535 Enrollment ID: O20110314000767 |
| Entity Name | Monogram Health Professional Services PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659987436 PECOS PAC ID: 4880004183 Enrollment ID: O20201228000491 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Anne Stasiak, PA Po Box 211699, Eagan, MN 55121-3699 Ph: (866) 849-0692 | Melissa Anne Stasiak, PA Po Box 211699, Eagan, MN 55121-3699 Ph: (866) 849-0692 |
Kathryn Kempe O'morchoe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123 Phone: 612-871-1145 Fax: 612-870-5491 |
Mr. Jeffrey John Mohr, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 Fax: 952-993-4095 |
Rebecca Hooper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4241 Johnny Cake Ridge Rd, Eagan, MN 55122 Phone: 612-819-6886 |
Mary Alivia Tolsma, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1885 Plaza Dr, Eagan, MN 55122 Phone: 952-993-4001 |
Amanda Laatsch, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1185 Town Centre Dr Ste 205, Eagan, MN 55123 Phone: 612-871-1145 Fax: 612-870-5491 |
Mr. Daniel Eduardo Nucete, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 211699, Eagan, MN 55121 Phone: 866-849-0692 Fax: 888-973-8821 |
Rachel Lu Nguyen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 845 Vikings Pkwy Ste B, Eagan, MN 55121 Phone: 888-938-3838 Fax: 888-919-1083 |