| Mr Jesse L Goembel, PA-C | |
|
550 Osborne Rd Ne, Fridley, MN 55432-2718 | |
| (763) 236-5000 | |
| (763) 236-3516 |
| Full Name | Mr Jesse L Goembel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 550 Osborne Rd Ne, Fridley, 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 |
|---|---|---|---|
| 1356486963 | NPI | - | NPPES |
| 1238 | Other | MN | MN TEMPORARY LICENSE |
| 6829150 | Medicaid | SD | |
| 0643 | Other | SD | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0643 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centracare Clinic | 2466363395 | 701 |
| Carris Health - Redwood Llc | 7911259619 | 31 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jesse L Goembel, PA-C 550 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-5000 | Mr Jesse L Goembel, PA-C 550 Osborne Rd Ne, Fridley, MN 55432-2718 Ph: (763) 236-5000 |
Mary Kathleen Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-785-4500 Fax: 763-785-3329 | |
James Piper, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne Ste 100, Fridley, MN 55432 Phone: 763-785-4500 Fax: 763-785-3329 | |
Janet Gay Flanagan, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 755 53rd Ave Ne, Fridley, MN 55421 Phone: 763-571-9361 | |
Brooke Schroepfer, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 755 53rd Ave Ne, Fridley, MN 55421 Phone: 866-389-2727 | |
Madison Nicole Bestler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 480 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-581-0600 | |
Leslie Anne Betterman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-3518 | |
Ms. Millicent Wanjohi, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 755 53rd Ave Ne, Fridley, MN 55421 Phone: 763-862-9656 |