| Nathanael Paul Shull, | |
|
4194 Lexington Ave N, Shoreview, MN 55126-6106 | |
| (651) 483-5461 | |
| (651) 483-2155 |
| Full Name | Nathanael Paul Shull |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 2 Years |
| Location | 4194 Lexington Ave N, Shoreview, 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 |
|---|---|---|---|
| 1255034054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14956 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allina Health Home Health | Minneapolis, MN | Home health agency |
| Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
| United Hospital | Saint paul, MN | Hospital |
| Mercy Hospital | Coon rapids, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3844 |
| 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 |
|---|---|
| Nathanael Paul Shull, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Nathanael Paul Shull, 4194 Lexington Ave N, Shoreview, MN 55126-6106 Ph: (651) 483-5461 |
Jordan Nicole Scheunemann, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 |
Kristin M Hansen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 |
Sejal S Peckosh, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2155 |
Andrew David Forsgren, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3800 Lexington Ave N, Shoreview, MN 55126 Phone: 651-486-0649 |
Morgan Kelly Gamm, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4166 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 |
Alexie Ann Leitner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3800 Lexington Ave N, Shoreview, MN 55126 Phone: 952-406-0155 Fax: 612-379-4936 |
Mr. Luke Bennett Rylander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4166 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 |