| Stacey L Ko, PA-C | |
|
7500 80th St S, Suite 100 - Ms 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 | |
| (651) 415-4100 | |
| (651) 415-4101 |
| Full Name | Stacey L Ko |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 25 Years |
| Location | 7500 80th St S, Suite 100 - Ms 34624a, Cottage Grove, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821059692 | NPI | - | NPPES |
| 150112700 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9655 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| United Hospital | Saint paul, 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: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| 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 |
|---|---|
| Stacey L Ko, PA-C 8170 33rd Ave S, Ms21110q, Minneapolis, MN 55425-4516 Ph: (952) 883-5375 | Stacey L Ko, PA-C 7500 80th St S, Suite 100 - Ms 34624a, Healthpartners Cottage Grove Clinic, Cottage Grove, MN 55016-3008 Ph: (651) 415-4100 |
Mitchell Scott Sebranek, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-458-1884 |
Priscilla Thao, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 6936 Pine Arbor Dr S, Cottage Grove, MN 55016 Phone: 651-326-5800 |
Samantha Roth, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-458-1884 |
Mitchel Leers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6936 Pine Arbor Dr S Ste 100, Cottage Grove, MN 55016 Phone: 651-326-5800 |
Ekaterina Peterson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016 Phone: 651-458-1884 |