Jennifer Poethke Idiculla, PA-C in Saint Michael, MN

Jennifer Poethke Idiculla, PA-C is a medicare enrolled "Physician Assistant" in Saint Michael, Minnesota. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Allina Health System and her current practice location is 4300 Edgewood Dr Ne, Saint Michael, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 744-4000.

Jennifer Poethke Idiculla is licensed to practice in Minnesota (license number 1289) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841661824.

Contact Information

	Jennifer Poethke Idiculla, PA-C
	4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588
	(763) 744-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Poethke Idiculla
Gender	Female
Speciality	Physician Assistant
Experience	9 Years
Location	4300 Edgewood Dr Ne, Saint Michael, 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.

Medical Education and Training:

Jennifer Poethke Idiculla graduated from nursing school in 2015

NPI Data:

NPI Number: 1841661824
Provider Enumeration Date: 10/15/2015
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 8426358284
Enrollment ID: I20171101002339

Medical Identifiers

Medical identifiers for Jennifer Poethke Idiculla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841661824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1289 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Buffalo Hospital	Buffalo, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3071

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Poethke Idiculla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Poethke Idiculla, PA-C 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Jennifer Poethke Idiculla, PA-C 4300 Edgewood Dr Ne, Saint Michael, MN 55376-4588 Ph: (763) 744-4000

Reviews and Comments

Physician Assistant Nurses in Saint Michael, MN

April Marie Dornsbach, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000
Mrs. Emily Jo Walker, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000
Emily Allison Danielson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Central Ave E, Saint Michael, MN 55376 Phone: 763-497-6632
Talia Sylvester, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15058 50th St Ne, Saint Michael, MN 55376 Phone: 763-331-4256
Matthew Dennes Mckeever, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4300 Edgewood Dr Ne, Saint Michael, MN 55376 Phone: 763-744-4000 Fax: 763-744-4124

Jennifer Poethke Idiculla, PA-C - Medicare Physician Assistant in Saint Michael, MN