| Tyler Joseph Harvey, PA-C | |
|
3605 Mayfair Ave, Mesaba Clinic, Hibbing, MN 55746-2935 | |
| (218) 362-6343 | |
| Not Available |
| Full Name | Tyler Joseph Harvey |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 3605 Mayfair Ave, Hibbing, 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 |
|---|---|---|---|
| 1225091234 | NPI | - | NPPES |
| 1225091234 | Medicaid | WI | |
| 1225091234 | Medicaid | MN | |
| 946470100 | Medicaid | MN | |
| 1225091234 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9970 (Minnesota) | Primary |
| 363A00000X | Physician Assistant | 1729-23 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Range Regional Health Services | Hibbing, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Range Regional Health Services | 8022920024 | 349 |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Joseph Harvey, PA-C 3605 Mayfair Ave, Mesaba Clinic, Hibbing, MN 55746-2935 Ph: (218) 362-6343 | Tyler Joseph Harvey, PA-C 3605 Mayfair Ave, Mesaba Clinic, Hibbing, MN 55746-2935 Ph: (218) 362-6343 |
Julia Carr, PA-C, ATC, CFMP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-362-6937 |
Kathryn J Clusiau, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-362-6975 Fax: 218-362-6989 |
Caylee Osborne, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 750 E 34th St, Hibbing, MN 55746 Phone: 218-262-4881 |
Tara Marie Ruud, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Mesaba Clinics- Fairview, Hibbing, MN 55746 Phone: 218-262-3441 |
Colleen Rae Wallis, P.A.C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3605 Mayfair Ave, Hibbing, MN 55746 Phone: 218-262-3441 Fax: 218-362-6989 |