| Jacob Edward Moench, PA-C | |
|
27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 | |
| (947) 523-4500 | |
| Not Available |
| Full Name | Jacob Edward Moench |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 27901 Woodward Ave Ste 300, Berkley, Michigan |
| 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 |
|---|---|---|---|
| 1699292755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008411 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Corewell Health Beaumont Troy Hospital | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group Hospital Based Services | 3072875889 | 575 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Edward Moench, PA-C 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: Not Available | Jacob Edward Moench, PA-C 27901 Woodward Ave Ste 300, Berkley, MI 48072-0921 Ph: (947) 523-4500 |
Kenneth Jackson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 27901 Woodward Ave, Suite 300, Berkley, MI 48072 Phone: 248-837-2443 |
Haley Coolsaet, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3270 Greenfield Rd, Berkley, MI 48072 Phone: 248-268-1525 |
Mr. Caleb Anthony Youngblood, MMS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1964 W 11 Mile Rd, Berkley, MI 48072 Phone: 248-544-9300 |
Abigail Christine Miller, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 27897 Woodward Ave, Berkley, MI 48072 Phone: 248-397-6196 |
Ms. Meghan Haley Alice Tobiczyk, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 28903 Woodward Ave, Berkley, MI 48072 Phone: 248-581-0333 |
Victoria Therese Voros, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2635 Coolidge Hwy, Berkley, MI 48072 Phone: 248-541-2512 |
Mr. Karl David Sinclair, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2905 W 12 Mile Rd, Berkley, MI 48072 Phone: 248-541-0070 |