Jenna Wiese, is a medicare enrolled "Physician Assistant" in Pillager, Minnesota. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice St Josephs Medical Center and her current practice location is
680 Pillsbury St N, Pillager, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 746-4527.
Jenna Wiese is licensed to practice in Minnesota (license number 13798) 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 1174197883.
Provider's Profile
| Full Name | Jenna Wiese |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 680 Pillsbury St N, Pillager, 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:
- Jenna Wiese graduated from nursing school in 2021
NPI Data:
- NPI Number: 1174197883
- Provider Enumeration Date: 05/17/2021
- Last Update Date: 03/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931590106
- Enrollment ID: I20211222002083
Medical Identifiers
Medical identifiers for Jenna Wiese such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174197883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | 13798 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Josephs Medical Center | 8224948443 | 214 |
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. Jenna Wiese 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 |
|---|
Jenna Wiese,
680 Pillsbury St N,
Pillager, MN 56473-2507
Ph: (218) 746-4527 | Jenna Wiese,
680 Pillsbury St N,
Pillager, MN 56473-2507
Ph: (218) 746-4527 |
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