Jessica J Stangenes, PA-C, RD, LD is a medicare enrolled "Physician Assistant" provider in Burnsville, Minnesota. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Express Care and her current practice location is
201 E Nicollet Blvd, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 892-2000.
Jessica J Stangenes is licensed to practice in Minnesota (license number 1166732) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740247824.
Healthcare Provider's Profile
| Full Name | Jessica J Stangenes |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 201 E Nicollet Blvd, Burnsville, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica J Stangenes graduated from medical school in 2020
NPI Data:
- NPI Number: 1740247824
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 01/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 5698189728
- Enrollment ID: I20210201000111
Medical Identifiers
Medical identifiers for Jessica J Stangenes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740247824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 2335 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 1166732 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairview Express Care | 3375645179 | 1537 |
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. Jessica J Stangenes 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 Address | Practice Location Address |
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Jessica J Stangenes, PA-C, RD, LD
500 Harvard St Se,
Minneapolis, MN 55455-0363
Ph: (612) 273-3000 | Jessica J Stangenes, PA-C, RD, LD
201 E Nicollet Blvd,
Burnsville, MN 55337-5714
Ph: (952) 892-2000 |
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