| Jessica G Wageman, PA-C | |
|
6500 Excelsior Blvd, St Louis Park, MN 55426-4702 | |
| (952) 993-3246 | |
| (952) 993-3010 |
| Full Name | Jessica G Wageman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 6500 Excelsior Blvd, St Louis Park, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770816225 | NPI | - | NPPES |
| 10903 | Other | MN | MINNESOTA LICENSE |
| 002025 | Other | IA | PA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10903 (Minnesota) | Primary |
| 363A00000X | Physician Assistant | 002025 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Park Nicollet Methodist Hospital | Saint louis park, MN | Hospital |
| Hutchinson Health | Hutchinson, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3071 |
| Park Nicollet Clinic | 7911819438 | 1529 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica G Wageman, PA-C 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-3246 | Jessica G Wageman, PA-C 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-3246 |
Amy Vandenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000 | |
Kelly C Greco, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Department Of Dermatology, St Louis Park, MN 55416 Phone: 952-993-3260 Fax: 952-993-0333 | |
Ms. Maggie J Koch, O.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426 Phone: 952-993-3123 | |
Lucia F Pierson, OPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300 | |
Tamara A Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426 Phone: 952-993-3180 | |
Lukas Pitzl, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246 | |
Mrs. Ann Marie Strong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Park Nicollet Clinic-smartcare, 3800 Park Nicollet Blvd Suite 150, St Louis Park, MN 55416 Phone: 952-993-1190 Fax: 952-993-0960 |