| Taylor Fredrickson, PA-C | |
|
333 Smith Ave N, Saint Paul, MN 55102-2344 | |
| (651) 241-8755 | |
| Not Available |
| Full Name | Taylor Fredrickson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 333 Smith Ave N, Saint Paul, 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 |
|---|---|---|---|
| 1942889225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 13674 (Minnesota) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 13674 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skin Professionals West Pc | 0941618771 | 3 |
| Entity Name | Emergency Care Consultants PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669422788 PECOS PAC ID: 5496640161 Enrollment ID: O20040220000380 |
| 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 | Twin Cities Physicians Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992176499 PECOS PAC ID: 9830499763 Enrollment ID: O20151130000202 |
| Entity Name | Skin Professionals West PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992394944 PECOS PAC ID: 0941618771 Enrollment ID: O20210416000061 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Fredrickson, PA-C 2829 University Ave Se Ste 730, Minneapolis, MN 55414-3279 Ph: (612) 439-1868 | Taylor Fredrickson, PA-C 333 Smith Ave N, Saint Paul, MN 55102-2344 Ph: (651) 241-8755 |
Jordan Thaddeus Mahieu, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St # Ms 11102f, Saint Paul, MN 55101 Phone: 952-883-5129 |
Samantha P Hunt, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3900 Bethel Dr, Saint Paul, MN 55112 Phone: 651-638-6400 |
Ms. Barbara Lynn Peterson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1619 Dayton Ave, Ste 205, Saint Paul, MN 55104 Phone: 651-645-0478 Fax: 651-642-2523 |
Mr. Christopher Lawrence Kaye, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson Street, Saint Paul, MN 55101 Phone: 651-254-3456 Fax: 651-254-9673 |
Shaun Sava, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 153 Cesar Chavez St, Saint Paul, MN 55107 Phone: 651-389-2540 |
Erin Nicole Dehn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-4887 Fax: 651-254-1603 |
Kira Elizabeth Oien, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2401 Fairview Ave N # 145, Saint Paul, MN 55113 Phone: 763-225-9050 |