| Nathaniel Vanloon, PA-C | |
|
14655 Galaxie Ave, Apple Valley, MN 55124-8602 | |
| (952) 432-6161 | |
| Not Available |
| Full Name | Nathaniel Vanloon |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 7 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 |
|---|---|---|---|
| 1437781333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13182 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Odom Sports Medicine Pa | 0143485607 | 63 |
| Allina Health System | 4587573613 | 3844 |
| 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 | Odom Sports Medicine PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533 |
| 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 |
|---|---|
| Nathaniel Vanloon, PA-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Nathaniel Vanloon, PA-C 14655 Galaxie Ave, Apple Valley, MN 55124-8602 Ph: (952) 432-6161 |
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 |
Abigail Rayna Ghylin, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 15650 Cedar Ave, Apple Valley, MN 55124 Phone: 952-997-4100 Fax: 952-997-4102 |
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 |