| Mr Robert Tix, PA | |
|
14655 Galaxie Ave, Apple Valley, MN 55124-8602 | |
| (651) 241-3779 | |
| (651) 241-3825 |
| Full Name | Mr Robert Tix |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 14655 Galaxie Ave, Apple Valley, 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 |
|---|---|---|---|
| 1447603113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12134 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina Health Faribault Medical Center | Faribault, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3844 |
| Entity Name | St Francis Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447605514 PECOS PAC ID: 7214821909 Enrollment ID: O20040212000408 |
| 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 | Community Care Health Network LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210416001437 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert Tix, PA 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Mr Robert Tix, PA 14655 Galaxie Ave, Apple Valley, MN 55124-8602 Ph: (651) 241-3779 |
Kayla Mae Holm, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100 |
John Boettger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500 |
Jillian Johannes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 |
Mrs. Shelby Ann Oswald, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 |
Stefanie Marie Barnes, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 651-241-3779 Fax: 651-241-3825 |
Nicole Marie Stotter, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14655 Galaxie Ave, Apple Valley, MN 55124 Phone: 952-250-4559 |
Sara Jo Lehrer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15350 English Ave, Apple Valley, MN 55124 Phone: 952-431-8500 |