| Jason B Kimmel, PAC | |
|
600 West 98th Street, Bloomington, MN 55420-4773 | |
| (952) 881-2651 | |
| (952) 885-6065 |
| Full Name | Jason B Kimmel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 26 Years |
| Location | 600 West 98th Street, 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 |
|---|---|---|---|
| 1033176219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 9569 (Minnesota) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Clinics | 7113830142 | 799 |
| Healtheast Medical Research Institute | 3971407636 | 665 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811077175 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Healtheast Medical Research Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125503 PECOS PAC ID: 3971407636 Enrollment ID: O20031124000507 |
| Entity Name | Fairview Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588543862 PECOS PAC ID: 3072083286 Enrollment ID: O20260529000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason B Kimmel, PAC 600 West 98th Street, Bloomington, MN 55420-4773 Ph: (952) 881-2651 | Jason B Kimmel, PAC 600 West 98th Street, Bloomington, MN 55420-4773 Ph: (952) 881-2651 |
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: Not Enrolled in Medicare 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 |
Alex Jordan Krona, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W 98th St, Bloomington, MN 55420 Phone: 855-324-7843 |
Victoria Shepard Williams, PA-C, MPAS Physician Assistant Medicare: Accepting Medicare Assignments 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: May Accept Medicare Assignments Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435 Phone: 952-835-9880 Fax: 952-857-1554 |
Michael Charles Lick, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435 Phone: 457-495-2767 |