| Jenna Lynn Moscherosch, MS PAC | |
|
5366 386th St Ne, North Branch, MN 55056-5833 | |
| (651) 674-8353 | |
| Not Available |
| Full Name | Jenna Lynn Moscherosch |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 5366 386th St Ne, North Branch, Minnesota |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356653760 | NPI | - | NPPES |
| 1156321600 | Other | MI | BCBS IND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601005802 (Michigan) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 11785 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fairview Lakes Health Services | Wyoming, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairview Health Services | 1951213057 | 551 |
| Fairview Clinics | 7113830142 | 736 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Lynn Moscherosch, MS PAC 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (952) 853-8800 | Jenna Lynn Moscherosch, MS PAC 5366 386th St Ne, North Branch, MN 55056-5833 Ph: (651) 674-8353 |
Marcella Gutierrez, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6413 Oak St, North Branch, MN 55056 Phone: 651-674-8353 | |
Matthew Weiseman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5366 386th St Ne, North Branch, MN 55056 Phone: 651-674-8353 |