| Mr Wayne Alexander Jorgensen, PA-C | |
|
243 Winkler Trl, Cologne, MN 55322-8013 | |
| (612) 720-3985 | |
| Not Available |
| Full Name | Mr Wayne Alexander Jorgensen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 243 Winkler Trl, Cologne, 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 |
|---|---|---|---|
| 1932391083 | NPI | - | NPPES |
| 812998000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1044 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 10335 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Gabriels Hospital | Little falls, MN | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Mille Lacs Health System | Onamia, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alomere Health | 9931690047 | 123 |
| Entity Name | Grand Itasca Clinic and Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669426631 PECOS PAC ID: 8123939550 Enrollment ID: O20031105000209 |
| Entity Name | Range Regional Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | River's Edge Hospital & Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407849367 PECOS PAC ID: 7214849397 Enrollment ID: O20031120000094 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20040204000052 |
| Entity Name | Sanford Health of Northern Minnesota |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1780630939 PECOS PAC ID: 9830003516 Enrollment ID: O20061104000248 |
| Entity Name | Mille Lacs Health System |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548212699 PECOS PAC ID: 4789577834 Enrollment ID: O20070910000977 |
| Entity Name | Select Urgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952063158 PECOS PAC ID: 1658762646 Enrollment ID: O20211230000768 |
| Entity Name | Alomere Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558236091 PECOS PAC ID: 9931690047 Enrollment ID: O20251117003679 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wayne Alexander Jorgensen, PA-C 1305 15th St Ne Apt 314, Sauk Rapids, MN 56379-2379 Ph: Not Available | Mr Wayne Alexander Jorgensen, PA-C 243 Winkler Trl, Cologne, MN 55322-8013 Ph: (612) 720-3985 |