| Mrs Renee Linda Funk, PAC | |
|
1406 6th Ave N, St Cloud, MN 56303-1901 | |
| (320) 255-5656 | |
| (320) 654-2044 |
| Full Name | Mrs Renee Linda Funk |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1406 6th Ave N, St Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346216512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9385 (Minnesota) | Primary |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Emergency Physicians Professional Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801871934 PECOS PAC ID: 9537072657 Enrollment ID: O20031106000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Renee Linda Funk, PAC 1406 6th Ave N, Saint Cloud, MN 56303-1900 Ph: (320) 255-5657 | Mrs Renee Linda Funk, PAC 1406 6th Ave N, St Cloud, MN 56303-1901 Ph: (320) 255-5656 |
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. Gina Marie Wippler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1555 Northway Drive #100, Centracare Clinic Northway Family Medicine, St Cloud, MN 56303 Phone: 320-251-1775 Fax: 320-240-3131 |