| Ryan Lill, | |
|
8401 Golden Valley Rd, Golden Valley, MN 55427-4486 | |
| (952) 993-8300 | |
| (952) 993-8331 |
| Full Name | Ryan Lill |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 8401 Golden Valley Rd, Golden 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 |
|---|---|---|---|
| 1518339613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12000 (Minnesota) | Primary |
| 363AM0700X | Physician Assistant - Medical | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospice |
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Park Nicollet Clinic | 7911819438 | 1778 |
| Entity Name | Park Nicollet Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046 |
| Entity Name | Group Health Plan Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
| 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 | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Lill, P O Box 1309, Ms21110q, Minneapolis, MN 55440-1309 Ph: (952) 883-7172 | Ryan Lill, 8401 Golden Valley Rd, Golden Valley, MN 55427-4486 Ph: (952) 993-8300 |
Ms. Andrea Gerladine Geib, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8401 Golden Valley Rd, Golden Valley, MN 55427 Phone: 952-993-8300 |
Steven Atkinson, PA-C, MS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 763-267-8701 Fax: 763-231-9602 |
Andrew Manos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8401 Golden Valley Rd Ste 340, Golden Valley, MN 55427 Phone: 952-960-9399 Fax: 952-206-6467 |
Danielle Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN 55422 Phone: 763-267-8701 Fax: 706-270-0487 |
Rachel Ann Laliberte, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7500 Olson Memorial Hwy Ste 300, Golden Valley, MN 55427 Phone: 651-271-1665 Fax: 612-999-1767 |
Zachary Reuven Ekstein, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4225 Golden Valley Rd, Golden Valley, MN 55422 Phone: 763-588-0661 |
Kayla Joy Zeltinger Tri, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8401 Golden Valley Rd Ste 100, Golden Valley, MN 55427 Phone: 952-993-8300 Fax: 952-993-8331 |