| Jessica Alexandra Cruz, MPAS, PA-C | |
|
213 N Main St, Moscow, ID 83843-2700 | |
| (208) 882-7565 | |
| (208) 882-7567 |
| Full Name | Jessica Alexandra Cruz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 7 Years |
| Location | 213 N Main St, Moscow, Idaho |
| 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 |
|---|---|---|---|
| 1952942195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-1795 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Elite Home Health | Lewiston, ID | Home health agency |
| Gritman Medical Center | Moscow, ID | Hospital |
| Pullman Regional Hospital | Pullman, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moscow Medical, P.a. | 8325006463 | 4 |
| Entity Name | Moscow Medical, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871646976 PECOS PAC ID: 8325006463 Enrollment ID: O20080812000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Alexandra Cruz, MPAS, PA-C 1030 Leepike Ct, Moscow, ID 83843-6008 Ph: (208) 669-2777 | Jessica Alexandra Cruz, MPAS, PA-C 213 N Main St, Moscow, ID 83843-2700 Ph: (208) 882-7565 |
Kara Michelle Adams, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 Fax: 208-883-1853 |
James Hebrlee Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 719 S. Mailn St, Moscow, ID 83843 Phone: 208-848-8300 Fax: 208-882-5587 |
Rachel Ensley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 803 S Main St Ste 110, Moscow, ID 83843 Phone: 208-813-7519 Fax: 208-813-7524 |
Wendy Monique Goodrich, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 623 S Main St Ste 1, Moscow, ID 83843 Phone: 208-882-2011 Fax: 208-883-1853 |
Mr. Michael Lounsbury, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 318 N Lincoln St, Moscow, ID 83843 Phone: 208-827-6127 |
Hanna Albanese, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |
Sheridan Meyer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2500 W A St Ste 101, Moscow, ID 83843 Phone: 208-882-0540 |