Simon Henry Lueth, PAC - Medicare Physician Assistant in Oak Park Heights, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. Oak Park Heights
Simon Henry Lueth, PAC is a medicare enrolled "Physician Assistant" in Oak Park Heights, Minnesota. He graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fairview Express Care, Group Health Inc and his current practice location is 5803 Neal Ave N, Oak Park Heights, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 439-8807.

Simon Henry Lueth is licensed to practice in Minnesota (license number 11596) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215357108.

Contact Information

Simon Henry Lueth, PAC
5803 Neal Ave N,
Oak Park Heights, MN 55082-2177
(651) 439-8807
(651) 439-0232

Map and Direction




Provider's Profile

Full NameSimon Henry Lueth
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location5803 Neal Ave N, Oak Park Heights, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Simon Henry Lueth graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1215357108
  • Provider Enumeration Date: 04/18/2014
  • Last Update Date: 04/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0749405249
  • Enrollment ID: I20140804000721

Medical Identifiers

Medical identifiers for Simon Henry Lueth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215357108NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 11596 (Minnesota)Primary
363AS0400XPhysician Assistant - Surgical 11596 (Minnesota)Secondary
363AS0400XPhysician Assistant - Surgical 3312-23 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Regions HospitalSaint paul, MNHospital
M Health Fairview St John's HospitalMaplewood, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791946
Group Health Inc17592939541627

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Simon Henry Lueth allows following entities to bill medicare on his behalf.
Entity NameUniversity of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417
Entity NameHealtheast Medical Research Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639125503
PECOS PAC ID: 3971407636
Enrollment ID: O20031124000507
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity of Minnesota Health Clinics and Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Simon Henry Lueth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Simon Henry Lueth, PAC
5803 Neal Ave N,
Oak Park Heights, MN 55082-2177

Ph: (651) 439-8807		Simon Henry Lueth, PAC
5803 Neal Ave N,
Oak Park Heights, MN 55082-2177

Ph: (651) 439-8807

Reviews and Comments


Physician Assistant Nurses in Oak Park Heights, MN

Margaret M Faust, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5715 Memorial Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232
Mrs. Jennifer Ann Stanek, MS, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5803 Neal Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    
Tracy E Bunnell, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5803 Neal Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232
Fredrick C Wittleder, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5803 Neal Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232
Katherine Anne Wolden, PAC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5803 Neal Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232
Peter Richard Larson, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5803 Neal Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232
Alexander Rohne Morehead, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5715 Memorial Ave N, Oak Park Heights, MN 55082
Phone: 651-439-8807    Fax: 651-439-0232

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.