| Meryl Stafford, PA-C | |
|
2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-3905 | |
| (651) 292-2000 | |
| Not Available |
| Full Name | Meryl Stafford |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 2355 Hwy 36 W., Roseville, 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 |
|---|---|---|---|
| 1821477233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11855 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| M Health Fairview Southdale Hospital | Edina, MN | Hospital |
| M Health Fairview Ridges Hospital | Burnsville, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Radiology Pa | 4486568482 | 217 |
| Fairview Health Services | 1951213057 | 677 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Midwest Radiology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952307175 PECOS PAC ID: 4486568482 Enrollment ID: O20031114000105 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Healtheast St John's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447218482 PECOS PAC ID: 9234035742 Enrollment ID: O20031208000320 |
| Entity Name | Midwest Radiology Outpatient Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720059264 PECOS PAC ID: 3870495591 Enrollment ID: O20040123000119 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Entity Name | Suburban Imaging LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427008937 PECOS PAC ID: 4688564867 Enrollment ID: O20040319000599 |
| 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 | Madison Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942246848 PECOS PAC ID: 9638080187 Enrollment ID: O20160809000563 |
| Entity Name | Fairview Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588543862 PECOS PAC ID: 3072083286 Enrollment ID: O20260529000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Meryl Stafford, PA-C 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 | Meryl Stafford, PA-C 2355 Hwy 36 W., Ste. 100, Roseville, MN 55113-3905 Ph: (651) 292-2000 |
Carly Jo Hennek, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-331-3459 |
Amanda Joanne Schmidt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 County Road B W, Roseville, MN 55113 Phone: 866-389-2727 |
Zachary Friederichs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2355 Hwy 36 W, Ste. 100, Roseville, MN 55113 Phone: 651-292-2000 |
Erin Lynn Benedict, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1955 County Road B2 W, Roseville, MN 55113 Phone: 651-635-0054 Fax: 651-635-0949 |
Tiffany J Mellang, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2355 Highway 36 W Ste 100, Roseville, MN 55113 Phone: 651-292-2000 |
Austin James Heneman, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 651-633-6883 Fax: 651-331-3459 |
Kelsey Kathleen Strub, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2720 Fairview Ave N Ste 200, Roseville, MN 55113 Phone: 952-452-6503 |