Ole Verni Shepherd, PA | |
710 S Kenwood Ave, Moose Lake, MN 55767-9405 | |
(218) 485-4481 | |
Not Available |
Full Name | Ole Verni Shepherd |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 710 S Kenwood Ave, Moose Lake, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659318228 | NPI | - | NPPES |
292820500 | Medicaid | MN | |
41966500 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 1517-023 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 8988 (Minnesota) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ole Verni Shepherd, PA Rr 2 Box 196, St James, MN 56081-9653 Ph: (507) 327-7698 | Ole Verni Shepherd, PA 710 S Kenwood Ave, Moose Lake, MN 55767-9405 Ph: (218) 485-4481 |
Mr. Nathan Wayne Gilbertson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4570 County Highway 61, Moose Lake, MN 55767 Phone: 218-485-4491 | |
Ms. Gabrielle Lea Stenson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4572 County Road 61, Moose Lake, MN 55767 Phone: 218-785-2015 | |
Ms. Jenefer June Southwick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1000 Lakeshore Dr, Moose Lake, MN 55767 Phone: 218-485-5050 Fax: 218-485-5008 |