| Jacob Moore, PA-C | |
|
1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 | |
| (651) 628-9566 | |
| (651) 628-0411 |
| Full Name | Jacob Moore |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 10 Years |
| Location | 1900 Silver Lake Rd Nw, New Brighton, 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 |
|---|---|---|---|
| 1851780928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nystrom And Associates Ltd | 6406752492 | 309 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Moore, PA-C 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: (651) 628-9566 | Jacob Moore, PA-C 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112-1786 Ph: (651) 628-9566 |
Nathan Hockert, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 165-162-8956 Fax: 651-628-0411 | |
Binh Y Vu, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 900 Long Lake Rd Ste 150, New Brighton, MN 55112 Phone: 612-213-2370 Fax: 612-524-5571 | |
Amanda Drewek, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Lindsey K Locken, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1151 Silver Lake Rd Nw, New Brighton, MN 55112 Phone: 612-706-4500 Fax: 612-781-6830 | |
Sarah Mae Anikpo, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Lake Rd Nw, Suite 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 | |
Abrielle Anne Mumm, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 900 Long Lake Rd Ste 150, New Brighton, MN 55112 Phone: 612-213-2370 Fax: 612-524-5571 | |
Polly Hendel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112 Phone: 651-628-9566 Fax: 651-628-0411 |