| Jason Davis, PA-C | |
|
3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 | |
| (952) 883-3150 | |
| Not Available |
| Full Name | Jason Davis |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 3900 Park Nicollet Blvd, St Louis Park, 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 |
|---|---|---|---|
| 1306170808 | NPI | - | NPPES |
| 1306170808 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 10786 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 10786 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeview Medical Center | 9234041997 | 175 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Davis, PA-C 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 Ph: (952) 883-3150 | Jason Davis, PA-C 3900 Park Nicollet Blvd, St Louis Park, MN 55416-2503 Ph: (952) 883-3150 |
Amy Vandenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000 | |
Kelly C Greco, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Department Of Dermatology, St Louis Park, MN 55416 Phone: 952-993-3260 Fax: 952-993-0333 | |
Ms. Maggie J Koch, O.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426 Phone: 952-993-3123 | |
Lucia F Pierson, OPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300 | |
Tamara A Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426 Phone: 952-993-3180 | |
Lukas Pitzl, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 | |
Mrs. Ann Marie Strong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Park Nicollet Clinic-smartcare, 3800 Park Nicollet Blvd Suite 150, St Louis Park, MN 55416 Phone: 952-993-1190 Fax: 952-993-0960 |