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Jayne M Korevec

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Minnetonka, MN 55343-9664

PECOS Enrollment

This provider is enrolled in PECOS as JAYNE KOREVEC.

Based on the most recent information from CMS, provider Jayne M Korevec is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1932216470
Provider Type
Individual
Full Name
Korevec, Jayne M
Title
Ms.
Credential
APNP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/23/2006
Last Updated
6/23/2020

Contact Information

Practice Location

9900 Bren Rd E, Minnetonka, MN 55343-9664

(478) 538-0908

Unlisted Fax

Mailing Location

PO Box 1459, Minneapolis, MN 55440-1459

(478) 538-0908

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1814 Wisconsin

Jayne M Korevec

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Ragsdale, Maria Cecilia

Cobb, Joel C

Serdynski, Georgetta S

Russell, Maryanne

Zakroczynski, Kathleen Johanna

Thayer, Lisa

Malesev, Tamara

Wells, Angela G

Reeder, Misty

Newkirk, Chloe D.