| Mrs Gina Marie Wippler, PA-C | |
|
1555 Northway Drive #100, Centracare Clinic Northway Family Medicine, St Cloud, MN 56303-1258 | |
| (320) 251-1775 | |
| (320) 240-3131 |
| Full Name | Mrs Gina Marie Wippler |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 1555 Northway Drive #100, St Cloud, 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 |
|---|---|---|---|
| 1265524136 | NPI | - | NPPES |
| 0113101 | Other | MN | MEDICA |
| 132M4T0 | Other | MN | BCBS |
| 142448C736 | Other | MN | UCARE |
| 136543600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9761 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare Hospice | Waite park, MN | Hospice |
| Centracare - St. Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 800 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Gina Marie Wippler, PA-C 1555 Northway Drive #100, Centracare Clinic Northway Family Medicine, St Cloud, MN 56303-1258 Ph: (320) 251-1775 | Mrs Gina Marie Wippler, PA-C 1555 Northway Drive #100, Centracare Clinic Northway Family Medicine, St Cloud, MN 56303-1258 Ph: (320) 251-1775 |
Rebecca Ann Hukriede, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 251 County Rd 120, St Cloud, MN 56303 Phone: 763-682-1313 |
Alan Paul Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Avenue North, St Cloud Hospital, St Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7115 |
Courtney Lynn Brever, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-656-7020 Fax: 320-255-5714 |
Lindsay J Dingman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303 Phone: 320-240-2826 Fax: 320-259-5896 |
Nellie Lynn Gabrielson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 |
Brent M Esterberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303 Phone: 320-252-5131 |
Mrs. Renee Linda Funk, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, St Cloud, MN 56303 Phone: 320-255-5656 Fax: 320-654-2044 |