Mr Shane M Tsubaki, PA-C in Blaine, MN - Medicare Physician Assistant

Mr Shane M Tsubaki, PA-C is a medicare enrolled "Physician Assistant" in Blaine, Minnesota. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Minuteclinic Diagnostic Of Minnesota Pa and his current practice location is 1500 109th Ave Ne, Blaine, Minnesota. You can reach out to his office (for appointments etc.) via phone at (866) 389-2727.

Mr Shane M Tsubaki is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1336309384.

Contact Information

	Mr Shane M Tsubaki, PA-C
	1500 109th Ave Ne, Blaine, MN 55449-4670
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Shane M Tsubaki
Gender	Male
Speciality	Physician Assistant
Experience	18 Years
Location	1500 109th Ave Ne, Blaine, 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.

Medical Education and Training:

Mr Shane M Tsubaki graduated from nursing school in 2008

NPI Data:

NPI Number: 1336309384
Provider Enumeration Date: 06/12/2008
Last Update Date: 12/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4587724810
Enrollment ID: I20081117000606

Medical Identifiers

Medical identifiers for Mr Shane M Tsubaki such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336309384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Diagnostic Of Minnesota Pa	7810289949	77

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Shane M Tsubaki is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Shane M Tsubaki, PA-C 15744 Fairoaks Ave N, Hugo, MN 55038-8552 Ph: (541) 212-9382	Mr Shane M Tsubaki, PA-C 1500 109th Ave Ne, Blaine, MN 55449-4670 Ph: (866) 389-2727

Reviews and Comments

Physician Assistant Nurses in Blaine, MN

John W Stoulil, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 12175 Aberdeen St Ne, Blaine, MN 55449 Phone: 763-785-4200 Fax: 763-785-3314
Joseph Miles Palmquist, JOE PALMQUIST Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10961 Club West Pkwy, Blaine, MN 55449 Phone: 763-572-5700
Ashley K Ganser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Tiffany S Hall, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 109th Ave Ne, Blaine, MN 55449 Phone: 763-421-5011
Adam Robert Hetz, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10705 Town Square Dr Ne Ste 210, Blaine, MN 55449 Phone: 763-231-8700 Fax: 763-427-8131
Danielle Kay Earp, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601
Jessie Lauren Nelson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11225 Ulysses St Ne, Blaine, MN 55434 Phone: 763-302-2600 Fax: 763-302-2601

Mr Shane M Tsubaki, PA-C - Medicare Physician Assistant in Blaine, MN