Mr Jesse L Goembel, PA-C - Medicare Physician Assistant in Fridley, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. Fridley
Mr Jesse L Goembel, PA-C is a medicare enrolled "Physician Assistant" in Fridley, Minnesota. He graduated from nursing school in 2006 and has 20 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Centracare Clinic and his current practice location is 550 Osborne Rd Ne, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 236-5000.

Mr Jesse L Goembel is licensed to practice in South Dakota (license number 0643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356486963.

Contact Information

Mr Jesse L Goembel, PA-C
550 Osborne Rd Ne,
Fridley, MN 55432-2718
(763) 236-5000
(763) 236-3516

Map and Direction




Provider's Profile

Full NameMr Jesse L Goembel
GenderMale
SpecialityPhysician Assistant
Experience20 Years
Location550 Osborne Rd Ne, Fridley, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jesse L Goembel graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1356486963
  • Provider Enumeration Date: 02/21/2007
  • Last Update Date: 11/10/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9830295641
  • Enrollment ID: I20090326000349

Medical Identifiers

Medical identifiers for Mr Jesse L Goembel such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356486963NPI-NPPES
1238OtherMNMN TEMPORARY LICENSE
6829150MedicaidSD
0643OtherSDSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0643 (South Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare - St. Cloud HospitalSaint cloud, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Centracare Clinic2466363395800

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jesse L Goembel allows following entities to bill medicare on his behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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. Mr Jesse L Goembel 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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Fridley, MN

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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.