| Matthew Ray Bennett, PA-C | |
|
560 S Maple St, Suite 200, Waconia, MN 55387-1733 | |
| (952) 442-2163 | |
| (952) 442-5903 |
| Full Name | Matthew Ray Bennett |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 560 S Maple St, Waconia, 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 |
|---|---|---|---|
| 1376955971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 2193 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Olivia Hospital & Clinic | Olivia, MN | Hospital |
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinite Health Collaborative Pa | 1052225042 | 761 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Ray Bennett, PA-C 4200 Dahlberg Dr, Suite 300, Golden Valley, MN 55422-4840 Ph: (952) 512-5600 | Matthew Ray Bennett, PA-C 560 S Maple St, Suite 200, Waconia, MN 55387-1733 Ph: (952) 442-2163 |
Laurie K. Grotzinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 400, Waconia, MN 55387 Phone: 952-442-7804 | |
Ms. To Uyen T Pham, Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Levon John Mueller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Nicole J Charles, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 Fax: 952-974-3201 | |
Sommer Nicole Vaughan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Elizabeth Anne Radke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Sarah Talbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |