| Shelley R Stepan, PA | |
|
640 Jackson St, Mc 11102f, St Paul, MN 55101-2502 | |
| (651) 254-3456 | |
| (651) 254-5216 |
| Full Name | Shelley R Stepan |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 640 Jackson St, St Paul, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770550741 | NPI | - | NPPES |
| 206005100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9875 (Minnesota) | Primary |
| Entity Name | Regions Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511 |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley R Stepan, PA 8170 33rd Avenue South, Mc21110q, Bloomington, MN 55425-1672 Ph: (952) 883-7172 | Shelley R Stepan, PA 640 Jackson St, Mc 11102f, St Paul, MN 55101-2502 Ph: (651) 254-3456 |
Mary Lee Mueller, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101 Phone: 651-254-4786 Fax: 651-228-8362 |
Jessica F Jandric, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1026 W 7th Street, St Paul, MN 55102 Phone: 651-241-1000 |
Kristy Jordan Lichtenberg, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 225 Smith Ave N, Ste 200, St Paul, MN 55102 Phone: 651-241-5111 Fax: 651-241-5512 |
Lisa M Lau, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 |
Michael R Timm, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Mc 11503j, St Paul, MN 55101 Phone: 651-254-5701 Fax: 651-254-1519 |
Yu Guan, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 640 Jackson St, St Paul, MN 55101 Phone: 952-883-5792 |
Stephen C Wandersee, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson Street, Mc 11102f, St Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-5216 |