| Travis Ray Green, PA-C | |
|
4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 | |
| (952) 767-4574 | |
| Not Available |
| Full Name | Travis Ray Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 4300 Market Pte Dr Ste 100, Bloomington, 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 |
|---|---|---|---|
| 1134693518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 12938 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Centracare Health - Monticello | Monticello, MN | Hospital |
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3101 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Ray Green, PA-C 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 Ph: (952) 767-4574 | Travis Ray Green, PA-C 4300 Market Pte Dr Ste 100, Bloomington, MN 55435-5435 Ph: (952) 767-4574 |
Jacob C Kruger, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 528-359-9880 | |
Meredith Jean Lorig, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554 | |
Michelle Hopman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 952-881-2651 Fax: 952-885-6022 | |
Victoria Shepard Williams, PA-C, MPAS Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554 | |
Matthew Brian Hamilton Williams, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554 | |
Jason B Kimmel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 West 98th Street, Bloomington, MN 55420 Phone: 952-881-2651 Fax: 952-885-6065 | |
Allison Riemersma, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 8230 W 110th St, Bloomington, MN 55438 Phone: 612-590-4708 |