| Mr Jacob Gregory Guth, PAC | |
|
1835 County Road C West, Suite 150, Stillwater, MN 55082-5078 | |
| (651) 259-4501 | |
| (651) 430-1447 |
| Full Name | Mr Jacob Gregory Guth |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 1835 County Road C West, Stillwater, 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 |
|---|---|---|---|
| 1134169774 | NPI | - | NPPES |
| 1047498 | Other | MN | PREFERRED ONE |
| 135584 | Other | MN | UCARE |
| 527G9GU | Other | MN | BLUE CROSS & BLUE SHIELD |
| HP65749 | Other | MN | HEALTH PARTNERS |
| 747410500 | Medicaid | MN | |
| 2443375 | Other | MN | AMERICAS PPO |
| 42886700 | Medicaid | WI | |
| 0124329 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 393 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Memorial Health - Robbinsdale Hospital | Robbinsdale, MN | Hospital |
| United Hospital | Saint paul, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| Maple Grove Hospital | Maple grove, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3844 |
| North Memorial Health Care | 0042123028 | 502 |
| Entity Name | Healtheast Woodwinds Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356309322 PECOS PAC ID: 9638082563 Enrollment ID: O20031107000110 |
| 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 | Fairview Bethesda Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194787465 PECOS PAC ID: 7214833763 Enrollment ID: O20031208000483 |
| Entity Name | North Memorial Health Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470 |
| 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 | Midwest Spine & Brain Institute LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902836133 PECOS PAC ID: 4183613557 Enrollment ID: O20040511000078 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jacob Gregory Guth, PAC 1950 Northwestern Ave S Ste 102, Stillwater, MN 55082-7615 Ph: (651) 430-3800 | Mr Jacob Gregory Guth, PAC 1835 County Road C West, Suite 150, Stillwater, MN 55082-5078 Ph: (651) 259-4501 |
Alison Gardner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 |
Andrea Claire Mueller, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 8050 Imperial Ct N, Stillwater, MN 55082 Phone: 320-293-1876 |
Megan Riegle, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1950 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 Phone: 651-430-3800 Fax: 651-430-3827 |
Cynthia G. Goetz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Curve Crest Blvd W, Stillwater, MN 55082 Phone: 651-439-1234 |
Nicole K Beauvais, PA-C, MMS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 |
Elizabeth Fell Loken, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5701 Stillwater Blvd N, Stillwater, MN 55082 Phone: 651-351-8180 Fax: 651-351-8179 |
Sarah Elizabeth Meyer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 270 Main St N Ste 300, Stillwater, MN 55082 Phone: 651-342-1039 Fax: 651-342-1428 |