| Brooke Alexandra Stein Moss, PA-C | |
|
21410 136th Ave Ste 105a, Rogers, MN 55374-4921 | |
| (763) 515-6200 | |
| (763) 515-6202 |
| Full Name | Brooke Alexandra Stein Moss |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 21410 136th Ave Ste 105a, Rogers, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316346950 | NPI | - | NPPES |
| H400272686 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 11856 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Forefront Dermatology Sc | 3779471701 | 650 |
| Entity Name | Oral and Maxillofacial Surgical Consultants PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316165012 PECOS PAC ID: 2961489844 Enrollment ID: O20040630000218 |
| Entity Name | Forefront Dermatology SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659747731 PECOS PAC ID: 3779471701 Enrollment ID: O20150901000903 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Alexandra Stein Moss, PA-C 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Brooke Alexandra Stein Moss, PA-C 21410 136th Ave Ste 105a, Rogers, MN 55374-4921 Ph: (763) 515-6200 |
Ms. Ruth Ann Hoffman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13688 Rogers Dr, Rogers, MN 55374 Phone: 320-253-5220 Fax: 952-977-0311 |
Kristina Kay Thissen, PA-S Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21395 John Milless Dr, Rogers, MN 55374 Phone: 763-504-6400 Fax: 763-504-6410 |
Amanda Mary Anna Dinegan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 13785 Rogers Dr, Rogers, MN 55374 Phone: 952-687-8100 |
Lynn M Youngner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13688 Rogers Dr, Rogers, MN 55374 Phone: 952-977-0300 |
Elizabeth A Schmidt, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14040 Northdale Blvd, Rogers, MN 55374 Phone: 763-488-4100 |