| Mindy S Staveteig, PA-C | |
|
400 S Minnesota St, Crookston, MN 56716-1808 | |
| (218) 281-9100 | |
| (218) 281-9189 |
| Full Name | Mindy S Staveteig |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 400 S Minnesota St, Crookston, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154509479 | NPI | - | NPPES |
| NA9481054162 | Other | PREFERRED ONE | |
| 1154509479 | Other | MEDICA | |
| 30806 | Other | TRICARE | |
| 03M31AN | Other | MN | MN BCBS |
| 30806 | Other | ND | ND BCBS |
| 342440000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10889 (Minnesota) | Primary |
| Entity Name | Altru Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 |
| Mailing Address | Practice Location Address |
|---|---|
| Mindy S Staveteig, PA-C 400 S Minnesota Street, Crookston, MN 56716 Ph: (701) 587-6000 | Mindy S Staveteig, PA-C 400 S Minnesota St, Crookston, MN 56716-1808 Ph: (218) 281-9100 |
Paul L Reese, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 |
Mr. Matthew Steven Massmann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9200 Fax: 218-281-9595 |
K Elisabeth Ring, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 |
Karen J Lesetmoe, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 800-746-6551 |
Emily Ann Andrews, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9100 |
Breanna J. Privratsky, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 400 S Minnesota St, Crookston, MN 56716 Phone: 121-828-1910 Fax: 218-281-9189 |
Hannah Sue Reski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 323 S Minnesota St, Crookston, MN 56716 Phone: 218-281-9595 |